[0001] The present invention is in the field of therapeutic drugs to treat malaria. In particular,
the invention provides trilobine derivatives
per se, and trilobine derivatives for use in the treatment of malaria, for example drug-resistant
malaria.
[0002] Malaria is a devastating infectious disease which affect each year more than 200
million people and claimed 435,000 deaths worldwide in 2018. As a major health concern
in Africa, Asia, the Middle East, and Central and South America, about 40% of the
world's population live in areas where malaria is transmitted. Approximately 90% of
both cases and deaths occurred in Africa, mostly among children, 78% of reported deaths
belonging to children below 5 years age.
[0003] Malaria is caused by blood protozoa of the genus Plasmodium, transmitted by Anopheles
spp., and shows symptoms such as intermittent paroxysm of fever, anemia, splenomegaly,
etc. The five known species of
Plasmodium genus that causes malaria in human are
Plasmodium falciparum, Plasmodium vivax, Plasmodium malariae, Plasmodium ovale, and
Plasmodium knowlesi. Among them,
P. falciparum is the most virulent parasite, with high mortality and morbidity rate, causing the
most severe symptoms: it progresses to severe malaria easily at 1 or 2 days after
the onset of disease, accompanied with coma and multiple organ failure that eventually
leads to the death of the patients.
[0004] The discovery of the synthetic drug chloroquine (CQ, first of the quinoline class)
in the 1940s helped to treat and prevent malaria throughout the world in 1950s. However,
the therapeutic efficacy of CQ and efforts to eradicate malaria worldwide were diminished
due to the occurrence of CQ resistance. The failure of these eradication programs
led to re-emergence of malaria and spread of CQ-resistant parasite from Southeast
Asia and South America to Africa. Due to the lack of potent and affordable drug for
malaria treatment, the spread of CQ-resistant parasite to Africa around 1980s claimed
2-3-fold increase in malaria-related deaths. Hence, CQ was replaced with sulfadoxine/pyrimethamine
(SP, of the antifolate class) as the first-line of treatment for malaria; however,
parasite became resistant to SP and spread widely. Use of antimalarial drugs as combination
therapy instead of monotherapy has been in practice to increase the efficacy of drug
and to delay the emergence of drug resistance parasite. Since 2001, artemisinin-based
combination therapies (ACTs) has been most widely and effectively used for malaria
treatment. Recently, resistance to ACTs (Artesunate-Mefloquine and Dihydroartemisinin-Piperaquine)
has been reported in Southeast Asia (Greater Mekong Subregion, GMS) increasing the
global alarm for malaria treatment and control.
[0005] The risk of ACT-resistant parasites spreading from the Greater Mekong Subregion to
Africa is extremely worrisome, as it happened previously with chloroquine- and sulfadoxine/pyrimethamine-resistant
parasites.
[0006] Drug resistant malaria is thus a serious clinical and public health problem. Therefore,
novel pharmaceutical compositions which kill drug-resistant malaria parasites, are
needed for successful therapy.
[0007] The present invention thus concerns a compound of following formula (I)

Wherein,
Y1 and Y2 are each independently H or (C1-C10)-alkyl, in which the fragments (C1-C10)-alkyl are optionally substituted by at least one group selected from NRY1RY2;
RY1 and RY2 are each independently H or (C1-C10)-alkyl;
X1 is H, methyl, ethyl, (C1-C10)-alkyl-R4, (C2-C10)-alkenyl, (C2-C10)-alkenyl-R4, CONHR5, (CH2-CH2O)m-H with m=2-4, in which the fragments (C1-C10)-alkyl are optionally substituted by at least one group selected from halogens;
and N-X1 optionally represents N+-O-;
R2 is chosen from H, methyl, ethyl, (C1-C10)-alkyl-R4-, (C2-C10)-alkenyl, (C2-C10)-alkenyl-R4', CONHR5', (CH2-CH2O)m-H with m=2-4, (C1-C10)-alkyl substituted by at least one group selected from halogen, -OH and -O-(C1-C10)-alkyl;
R4 is OH, O-(C1-C10)-alkyl, O-(C5-C10)-aryl, NO2, CN, (3-12)-membered-heterocycle, O-((CH2)2O)n-H with n=1-3, CONRcRd, halogen, COORc, CF3, or (C3-C12)-cycloalkyl, in which (C5-C10)-aryl and (3-12)-membered-heterocycle are optionally substituted by at least one
group selected from NRcRd, ORe, (C1-C10)-alkyl, halogen and oxo (=O);
R5 is H, or a group chosen among (C1-C10)-alkyl-R6, (C3-C12)-cycloalkyl, (C2-C10)-alkenyl, and a (3-12)-membered-heteroaryl, said group being optionally substituted
by at least one group selected from halogen, CN, NRcRd, NO2, CONRcRd, COORc, CF3, ORe,
R4' is OH, O-(C1-C10)-alkyl, O-(C5-C10)-aryl, NO2, CN, NRcRd, (3-12)-membered-heterocycle, O-((CH2)2O)n-H with n=1-3, CONRcRd, halogen, COORc, CF3, or (C3-C12)-cycloalkyl, in which (C5-C10)-aryl and (3-12)-membered-heterocycle are optionally substituted by at least one
group selected from NRcRd, ORc, (C1-C10)-alkyl, halogen and oxo (=O);
R5' is H, or a group chosen among (C1-C10)-alkyl-R6', (C3-C12)-cycloalkyl, (C2-C10)-alkenyl, benzyl, and, only when R1 and X1 are not H, Me, said groups being optionally substituted by at least one group selected
from halogen, CN, NRcRd, NO2, CONRcRd, COORc, CF3, ORe;
R6 is NRcRd, (3-12)-membered-heteroaryl or (3-12)-membered-heterocycle, in which the fragment
(3-12)-membered-heteroaryl or (3-12)-membered-heterocycle is optionally substituted
by at least one group selected from NRcRd, ORe, (C1-C10)-alkyl, (C1-C10)-alkyl-(3-12)-membered-heterocycle, halogen and oxo;
R6' is NRcRd or (3-12)-membered-heterocycle, in which the (3-12)-membered-heterocycle is optionally
substituted by at least one group selected from (C1-C10)-alkyl;
R1 is H, methyl, -(C1-C6) alkyl-NRaRb, COR7, (3-12)-membered-azaheterocycle optionally substituted by at least one group selected
from (C1-C10)-alkyl, or (C1-C6)-alkyl substituted by at least one group selected from epoxide and (3-12)-membered-azaheterocycle,
both optionally substituted by at least one group selected from (C1-C10)-alkyl,
Ra and Rb are independently from each other (C1-C6) alkyl or H, at least one of Ra and Rb being a (C1-C6) alkyl;
Rc, Rd and Re are for each occurence independently from each other (C1-C6) alkyl or H; R3 is H, (C1-C6) alkyl, (C1-C6) alkyl substituted by NRcRd;
R7 is (C1-C10)-alkyl, (C5-C10)-aryl;
with the proviso that:
- in case Y1 and Y2 are H, and R1, R2, R3 and X1 are independently chosen from H and methyl, then R3 is H and R2 is H;
or a pharmaceutically acceptable salt or solvate thereof,
for use in the treatment and/or prevention of malaria.
[0008] For the purpose of the invention, the term "pharmaceutically acceptable" is intended
to mean what is useful to the preparation of a pharmaceutical composition, and what
is generally safe and non-toxic, for a pharmaceutical use.
[0009] The term "pharmaceutically acceptable salt or solvate" is intended to mean, in the
framework of the present invention, a salt or solvate of a compound which is pharmaceutically
acceptable, as defined above, and which possesses the pharmacological activity of
the corresponding compound.
[0010] The pharmaceutically acceptable salts comprise:
- (1) acid addition salts formed with inorganic acids such as hydrochloric, hydrobromic,
sulfuric, nitric and phosphoric acid and the like; or formed with organic acids such
as acetic, benzenesulfonic, fumaric, glucoheptonic, gluconic, glutamic, glycolic,
hydroxynaphtoic, 2-hydroxyethanesulfonic, lactic, maleic, malic, mandelic, methanesulfonic,
muconic, 2-naphtalenesulfonic, propionic, succinic, dibenzoyl-L-tartaric, tartaric,
p-toluenesulfonic, trimethylacetic, and trifluoroacetic acid and the like, and
- (2) base addition salts formed when an acid proton present in the compound is either
replaced by a metal ion, such as an alkali metal ion, an alkaline-earth metal ion,
or an aluminium ion; or coordinated with an organic or inorganic base. Acceptable
organic bases comprise diethanolamine, ethanolamine, N-methylglucamine, triethanolamine,
tromethamine and the like. Acceptable inorganic bases comprise aluminium hydroxide,
calcium hydroxide, potassium hydroxide, sodium carbonate and sodium hydroxide.
[0011] Acceptable solvates for the therapeutic use of the compounds of the present invention
include conventional solvates such as those formed during the last step of the preparation
of the compounds of the invention due to the presence of solvents. As an example,
mention may be made of solvates due to the presence of water (these solvates are also
called hydrates) or ethanol.
[0012] It is recognized that compounds of the present invention may exist in various stereoisomeric
forms. As such, the compounds of the present invention include both diastereomers
and enantiomers. The compounds are normally prepared as racemates and can conveniently
be used as such, but individual enantiomers can be isolated or synthesized by conventional
techniques if so desired. Such racemates and individual enantiomers and mixtures thereof
form part of the present invention.
[0013] It is well known in the art how to prepare and isolate such optically active forms.
Specific stereoisomers can be prepared by stereospecific synthesis using enantiomerically
pure or enantiomerically enriched starting materials. The specific stereoisomers of
either starting materials or products can be resolved and recovered by techniques
known in the art, such as resolution of racemic forms, normal, reverse-phase, and
chiral chromatography, recrystallization, enzymatic resolution, or fractional recrystallization
of addition salts formed by reagents used for that purpose. Useful methods of resolving
and recovering specific stereoisomers described in
Eliel, E. L.; Wilen, S.H. Stereochemistry of Organic Compounds; Wiley: New York,
1994, and
Jacques, J, et al. Enantiomers, Racemates, and Resolutions; Wiley: New York, 1981, each incorporated by reference herein in their entireties.
[0014] About the two following asymmetric carbon atoms:

compounds of the invention are for example (1S, 2S), (1R, 2R), (1R, 2S), or (1S, 2R),
and in particular (1S, 2S).
[0015] The term "(C
1-C
6)alkyl", as used in the present invention, refers to a straight or branched saturated
hydrocarbon chain containing from 1 to 6 carbon atoms including, but not limited to,
methyl, ethyl, n-propyl, iso-propyl, n-butyl, iso-butyl, sec-butyl, t-butyl, n-pentyl,
n-hexyl, and the like.
[0016] The term "(C
2-C
6)alkenyl", as used in the present invention, refers to a straight or branched unsaturated
hydrocarbon chain containing from 2 to 6 carbon atoms and comprising at least one
double bond, notably one double bond, including, but not limited to, ethenyl, propenyl,
butenyl, pentenyl, hexenyl and the like. It can be in particular an allyl group.
[0017] The term "aryl", as used in the present invention, refers to an aromatic hydrocarbon
group comprising preferably 6 to 10 carbon atoms and comprising one or more, notably
1 or 2, fused rings, such as, for example, a phenyl or naphtyl group. Advantageously,
it will be a phenyl group.
[0018] The term "aryl-(C
1-C
6)alkyl", as used in the present invention, refers to an aryl group as defined above
bound to the molecule via a (C
1-C
6)alkyl group as defined above. In particular, the aryl-(C
1-C
6)alkyl group is a benzyl group.
[0019] The term "(C
1-C
6)alkyl-aryl", as used in the present invention, refers to a (C
1-C
6)alkyl group as defined above bound to the molecule via an aryl group as defined above.
In particular, it can be a tolyl group (-Ph-CH
3).
[0020] The term "heterocycle" as used in the present invention refers to a saturated, unsaturated
or aromatic hydrocarbon monocycle or polycycle (comprising fused, bridged or spiro
rings), such as a bicycle, in which one or more, advantageously 1 to 4, and more advantageously
1 or 2, carbon atoms have each been replaced with a heteroatom selected from nitrogen,
oxygen and sulphur atoms, and notably being a nitrogen atom. Advantageously, the heterocycle
comprises 5 to 15, notably 5 to 10 atoms in the ring(s). The ring(s) of the heterocycle
has/have advantageously 5 or 6 members.
[0021] According to a particular embodiment, the heterocycle is a saturated, unsaturated
or aromatic hydrocarbon monocycle or bicycle (comprising fused, bridged or spiro rings,
notably fused rings), each cycle having 5 or 6 members and 1 to 4, notably 1 or 2,
carbon atoms having each been replaced with a nitrogen or oxygen atom, notably a nitrogen
atom.
[0022] A heterocycle can be notably thiophene, furan, pyrrole, imidazole, pyrazole, oxazole,
isoxazole, thiazole, isothiazole, triazoles (1,2,3-triazole and 1,2,4-triazole), benzofuran,
indole, benzothiophene, benzimidazole, indazole, benzoxazole, benzisoxazole, benzothiazole,
benzisothiazole, pyridine, pyrimidine, pyridazine, pyrazine, triazine, quinoline,
isoquinoline, quinoxaline, quinazoline, piperidine, piperazine, triazinane, morpholine,
pyrrolidine, azepane, dihydropyridines, dihydropyrimidines (notably 1,2- dihydropyrimidine),
dihydropyridazines, dihydropyrazines, dihydrotriazines, tetrahydropyridines, tetrahydropyrimidines,
tetrahydropyridazines, tetrahydropyrazines, tetrahydrotriazines, etc.
[0023] A heterocycle can also be notably tetrahydrofuran, oxetane, or oxirane.
[0024] The term "heterocycle-(C
1-C
6)alkyl", as used in the present invention, refers to a heterocycle group as defined
above bound to the molecule via a (C
1-C
6)alkyl group as defined above.
[0025] The term "heteroaryl" as used in the present invention refers to an aromatic heterocycle
as defined above.
[0026] According to a particular embodiment, the heteroaryl is an aromatic hydrocarbon monocycle
or bicycle (i.e. comprising fused rings), each cycle having 5 or 6 members, notably
6 members, and 1 to 4, notably 1 or 2, carbon atoms having each been replaced with
a nitrogen or oxygen atom, notably a nitrogen atom.
[0027] A heteroaryl can be notably thiophene, furan, pyrrole, imidazole, pyrazole, oxazole,
isoxazole, thiazole, isothiazole, triazoles (1,2,3-triazole and 1,2,4-triazole), benzofuran,
indole, benzothiophene, benzimidazole, indazole, benzoxazole, benzisoxazole, benzothiazole,
benzisothiazole, pyridine, pyrimidine, pyridazine, pyrazine, triazine, quinoline,
isoquinoline, quinoxaline, quinazoline, etc.
[0028] The term "heteroaryl-(C
1-C
6)alkyl", as used in the present invention, refers to a heteroaryl group as defined
above bound to the molecule via a (C
1-C
6)alkyl group as defined above.
[0029] The term "halogen", as used in the present invention, refers to a fluorine, bromine,
chlorine or iodine atom.
[0030] In a particular embodiment, Y
1 and/or Y
2, in particular Y
1 and Y
2, are H.
[0031] In a particular embodiment, R
3 is H or methyl, in particular methyl.
[0032] In a particular embodiment, R
3 is H, R
1 being in particular H.
[0033] In a particular embodiment, Y
1 and Y
2, are H, and R
3 is methyl.
[0034] In a particular embodiment, at least one of R
1, R
2 and X
1 is not H nor methyl.
[0035] In a particular embodiment, one of R
1, R
2 and X
1 is not H nor methyl, the two others being H or methyl.
[0036] In a particular embodiment, one of R
1, R
2 and X
1 is not H nor methyl, the two others being methyl.
[0037] In a particular embodiment, R
1 is not H nor methyl, R
2 and X
1 being in particular independently H or methyl.
[0038] In a particular embodiment, R
1 is not H nor methyl, R
2 and X
1 being methyl.
[0039] In a particular embodiment, R
2 is not H nor methyl, R
1 and X
1 being in particular independently H or methyl.
[0040] In a particular embodiment, R
2 is not H nor methyl, R
1 and X
1 being methyl.
[0041] In a particular embodiment, X
1 is not H nor methyl, R
1 and R
2 being in particular independently H or methyl.
[0042] In a particular embodiment, X
1 is not H nor methyl, R
1 and R
2 being methyl.
[0043] In a particular embodiment, X
1 and R
2 are not H nor methyl, X
1 and R
2 being in particular identical, R
1 being notably H or methyl.
[0044] In a particular embodiment, X
1 and R
2 are not H nor methyl, X
1 and R
2 being in particular identical, R
1 being methyl.
[0045] In a particular embodiment, R
1, R
2, R
3 and X
1 are independently chosen from H and methyl, with R
3 being H, R
1 being in particular H.
[0046] In a particular embodiment, R
1, R
2, R
3 and X
1 are independently chosen from H and methyl, with R
3 being H, R
1 and R
2 being in particular H.
[0047] In a particular embodiment, X
1 is H, methyl, CONHR
5, or (CH
2-CH
2O)
m-H with m=2-4.
[0048] In a particular embodiment, R
5 is a group chosen among (C
1-C
10)-alkyl-R
6 and (3-12)-membered-heteroaryl, in particular pyridyl.
[0049] In a particular embodiment, R
6 is NR
cR
d, (3-12)-membered-heteroaryl, in particular pyridyl, or (3-12)-membered-heterocycle,
in particular piperazinyl, in which the fragment (3-12)-membered-heteroaryl or (3-12)-membered-heterocycle
is optionally substituted by at least one group selected from (C
1-C
10)-alkyl;
[0050] In a particular embodiment R
2 is chosen from H, methyl, (C
1-C
10)-alkyl-R
4', CONHR
5', and (CH
2-CH
2O)
m-H with m=2-4, (C
1-C
10)-alkyl being optionally substituted by at least one -OH.
[0051] In a particular embodiment, R
4' is NR
cR
d.
[0052] In a particular embodiment, R
5' is a group chosen among (C
1-C
10)-alkyl-R
6', benzyl, and, only when R
1 and X
1 are not H, Me.
[0053] In a particular embodiment, R
6' is NR
cR
d.
[0054] In a particular embodiment, R
7 is (C
1-C
10)-alkyl, (C
5-C
10)-aryl.
[0055] In a particular embodiment, the compound as defined above is of following formula
(II)

Wherein:
Y1, Y2 and R3 are as defined above, Y1 and Y2, being in particular H, and R3 being in particular methyl,
X1 is H, methyl, CONHR5, (CH2-CH2O)m-H with m=2-4;
R2 is chosen from H, methyl, (C1-C10)-alkyl-R4-, CONHR5', and (CH2-CH2O)m-H with m=2-4, (C1-C10)-alkyl being optionally substituted by at least one -OH;
R5 is a group chosen among (C1-C10)-alkyl-R6, and (3-12)-membered-heteroaryl, in particular pyridyl;
R4' is NRcRd;
R5' is a group chosen among (C1-C10)-alkyl-R6', benzyl, and, only when R1 and X1 are not H, Me;
R6 is NRcRd, (3-12)-membered-heteroaryl, in particular pyridyl, or (3-12)-membered-heterocycle,
in particular piperazinyl, in which the fragment (3-12)-membered-heteroaryl or (3-12)-membered-heterocycle
is optionally substituted by at least one group selected from (C1-C10)-alkyl;
R6' is NRcRd;
R1 is H, methyl, -(C1-C6)alkyl-NRaRb, COR7, (3-12)-membered-azaheterocycle, in particular azepanyl, optionally substituted by
at least one group selected from (C1-C10)-alkyl, or (C1-C6)-alkyl substituted by at least one group selected from epoxide and (3-12)-membered-azaheterocycle,
in particular pyrrolidinyl or piperazinyl, both epoxide and (3-12)-membered-azaheterocycle
being optionally substituted by at least one group selected from (C1-C10)-alkyl,
Ra and Rb are independently from each other (C1-C6) alkyl or H, at least one of Ra and Rb being a (C1-C6) alkyl;
Rc, Rd and Re are for each occurence independently from each other (C1-C6) alkyl or H;
R7 is (C1-C10)-alkyl, (C5-C10)-aryl, in particular (C1-C10)-alkyl;
with the proviso that:
- in case Y1 and Y2 are H, and R1, R2, R3 and X1 are independently chosen from H and methyl, then R3 is H and R2 is H.
[0056] In a particular embodiment, the compound as defined above is of following formula
(IIa)

Wherein:
R3 is as defined above, R3 being in particular H or methyl;
X1 is H, methyl, CONHR5;
R2 is chosen from H, methyl, (C1-C10)-alkyl-R4', (C1-C10)-alkyl being optionally substituted by at least one or two -OH;
R5 is a group chosen among (C1-C10)-alkyl-R6;
R4' is NRcRd;
R6 is (3-12)-membered-heteroaryl, in particular pyridyl, , in which the fragment (3-12)-membered-heteroaryl
is optionally substituted by at least one group selected from (C1-C10)-alkyl;
R1 is H, methyl, -(C1-C6)alkyl-NRaRb, in particular -(C3)alkyl-NRaRb, or (C1-C6)-alkyl substituted by at least one group selected from (3-12)-membered-azaheterocycle,
in particular pyrrolidinyl or piperazinyl, said (3-12)-membered-azaheterocycle being
optionally substituted by at least one group selected from (C1-C10)-alkyl,
Ra and Rb are independently from each other (C1-C6) alkyl or H, at least one of Ra and Rb being a (C1-C6) alkyl;
Rc, Rd and Re are for each occurence independently from each other (C1-C6) alkyl or H;
with the proviso that:
- in case R1, R2, R3 and X1 are independently chosen from H and methyl, then R3 is H, R2 is H, and X1 is H.
[0057] In a particular embodiment, the compound as defined above is of following formula
(IIa-1)

Wherein:
R3 is methyl;
X1 is methyl, CONHR5;
R2 is chosen from methyl, (C1-C10)-alkyl-R4', (C1-C10)-alkyl being optionally substituted by at least one or two -OH;
R5 is a group chosen among (C1-C10)-alkyl-R6;
R4' is NRcRd;
R6 is (3-12)-membered-heteroaryl, in particular pyridyl, in which the fragment (3-12)-membered-heteroaryl
is optionally substituted by at least one group selected from (C1-C10)-alkyl;
R1 is methyl, -(C1-C6)alkyl-NRaRb, in particular -(C3)alkyl-NRaRb, or (C1-C6)-alkyl substituted by at least one group selected from (3-12)-membered-azaheterocycle,
in particular pyrrolidinyl or piperazinyl, said (3-12)-membered-azaheterocycle being
optionally substituted by at least one group selected from (C1-C10)-alkyl,
Ra and Rb are independently from each other (C1-C6) alkyl or H, at least one of Ra and Rb being a (C1-C6) alkyl;
Rc, Rd and Re are for each occurence independently from each other (C1-C6) alkyl or H; with the proviso that R1, R2, R3 and X1 are not all independently chosen from H and methyl.
[0058] In a particular embodiment, the compound as defined above is of following formula
(IIa-2)

Wherein:
- R1
- is H, methyl, or -(C1-C6)alkyl-NRaRb, in particular -(C3)alkyl-NRaRb;
- R3
- is H;
- X1
- is H or methyl;
- R2
- is H or methyl;
and in particular wherein:
- R1
- is H;
- R3
- is H;
- X1
- is H or methyl;
- R2
- is H.
[0059] In a particular embodiment, in case R
1, R
2, R
3 and X
1 are independently chosen from H and methyl, then R
1 and R
3 are H, and R
2 is H.
[0061] In a particular embodiment, the malaria is caused by a parasite that is a drug-sensitive
or drug-resistant parasite, in particular a drug-resistant malaria parasite.
[0062] In a particular embodiment, the drug-sensitive or drug-resistant malaria parasite
is a chloroquine-resistant; a chloroquine and pyrimethamine-resistant; a chloroquine,
pyrimethamine and mefloquine-resistant; a chloroquine, pyrimethamine, mefloquine and
artemisinin-resistant; a chloroquine, pyrimethamine, piperaquine and artemisinin-resistant
malaria parasite.
[0063] In a particular embodiment, malaria is caused by infection with Plasmodium, in particular
by
Plasmodium falciparum, P. vivax, P. ovale, or
P. malariae, P. knowlesi more particularly by
Plasmodium falciparum.
[0064] In another aspect, the invention concerns a combination of a compound as defined
above with at least one other antimalarial agent for the treatment of malaria with
simultaneous administration, separate or spread out over time.
[0065] In particular, the other antimalarial agent is selected from chloroquine, artemesin,
qinghaosu, 8-aminoquinoline, amodiaquine, arteether, artemether, artemisinin, artesunate,
artesunic acid, artelinic acid, atovaquone, azithromycine, biguanide, chloroquine
phosphate, chlorproguanil, cycloguanil, dapsone, desbutyl halofantrine, desipramine,
doxycycline, dihydrofolate reductase inhibitors, dipyridamole, halofantrine, haloperidol,
hydroxychloroquine sulfate, imipramine, mefloquine, penfluridol, phospholipid inhibitors,
primaquine, proguanil, pyrimethamine, pyronaridine, quinine, quinidine, quinacrine-artemisinin,
sulfonamides, sulfones, sulfadoxine, sulfalene, tafenoquine, tetracycline, tetrandine,
triazine, salts and mixture thereof.
[0066] In another aspect, the present invention concerns a method for the treatment of malaria
comprising the administration to a person in need thereof of an effective dose of
a compound as defined above.
[0067] According to another aspect, the present invention concerns a pharmaceutical composition
comprising:
a compound of formula (III) as defined below, or
a stereoisomeric form, a mixture of stereoisomeric forms or a pharmaceutically acceptable
salt form thereof,
in admixture with at least one pharmaceutically acceptable excipient.
[0068] The compound of formula (III) or the pharmaceutical composition of the present invention
may be administered in the form of a conventional pharmaceutical composition by any
route including orally, intramuscularly, subcutaneously, topically, intranasally,
intraperitoneally, intrathoracially, intravenously, epidurally, intrathecally, intracerebroventricularly
and by injection into the joints.
[0069] The dosage will depend on the route of administration, the severity of the disease,
age and weight of the patient and other factors normally considered by the attending
physician, when determining the individual regimen and dosage level at the most appropriate
for a particular patient.
[0070] For preparing pharmaceutical compositions from the compounds of the present invention,
inert, pharmaceutically acceptable carriers can be either solid or liquid. Solid form
preparations include powders, tablets, dispersible granules, capsules, cachets, and
suppositories.
[0071] A solid carrier can be one or more substances, which may also act as diluents, flavouring
agents, solubilizers, lubricants, suspending agents, binders, or tablet disintegrating
agents; it can also be an encapsulating material.
[0072] Tablets, powders, cachets, and capsules can be used as solid dosage forms suitable
for oral administration.
[0073] Liquid form compositions include solutions, suspensions, and emulsions. For example,
sterile water or propylene glycol solutions of the active compounds may be liquid
preparations suitable for parenteral administration. Liquid compositions can also
be formulated in solution in aqueous polyethylene glycol solution.
[0074] Aqueous solutions for oral administration can be prepared by dissolving the active
component in water and adding suitable colorants, flavouring agents, stabilizers,
and thickening agents as desired. Aqueous solutions for oral use can be made by dispersing
the finely divided active component in water together with a viscous material such
as natural synthetic gums, resins, methyl cellulose, sodium carboxymethyl cellulose,
and other suspending agents known to the pharmaceutical formulation art.
[0075] Depending on the mode of administration, the pharmaceutical composition will according
to one embodiment of the present invention include 0.05% to 99% weight (percent by
weight), according to an alternative embodiment from 0.10 to 50% weight, of the compound
of the present invention, all percentages by weight being based on total composition.
A therapeutically effective amount for the practice of the present invention may be
determined, by the use of known criteria including the age, weight and response of
the individual patient, and interpreted within the context of the disease which is
being treated or which is being prevented, by one of ordinary skills in the art.
[0076] According to another aspect, the present invention concerns a compound of following
formula (III):

Wherein,
Y1 and Y2 are each independently H or (C1-C10)-alkyl, in which the fragments (C1-C10)-alkyl are optionally substituted by at least one group selected from NRY1RY2;
RY1 and RY2 are each independently H or (C1-C10)-alkyl;
X1 is H, methyl, ethyl, (C1-C10)-alkyl-R4, (C2-C10)-alkenyl, (C2-C10)-alkenyl-R4, CONHR5, (CH2-CH2O)m-H with m=2-4, in which the fragments (C1-C10)-alkyl are optionally substituted by at least one group selected from halogens;
and N-X1 optionally represents N+-O-;
R2 is chosen from H, methyl, ethyl, (C1-C10)-alkyl-R4-, (C2-C10)-alkenyl, (C2-C10)-alkenyl-R4', CONHR5', (CH2-CH2O)m-H with m=2-4, (C1-C10)-alkyl substituted by at least one group selected from halogen, -OH and -O-(C1-C10)-alkyl;
R4 is OH, O-(C1-C10)-alkyl, O-(C5-C10)-aryl, NO2, CN, (3-12)-membered-heterocycle, O-((CH2)2O)n-H with n=1-3, CONRcRd, halogen, COORc, CF3, or (C3-C12)-cycloalkyl, in which (C5-C10)-aryl and (3-12)-membered-heterocycle are optionally substituted by at least one
group selected from NRcRd, ORe, (C1-C10)-alkyl, halogen and oxo (=O);
R5 is H, or a group chosen among (C1-C10)-alkyl-R6, (C3-C12)-cycloalkyl, (C2-C10)-alkenyl, and a (3-12)-membered-heteroaryl, said group being optionally substituted
by at least one group selected from halogen, CN, NRcRd, NO2, CONRcRd, COORc, CF3, ORe,
R4' is OH, O-(C1-C10)-alkyl, O-(C5-C10)-aryl, NO2, CN, NRcRd, (3-12)-membered-heterocycle, O-((CH2)2O)n-H with n=1-3, CONRcRd, halogen, COORc, CF3, or (C3-C12)-cycloalkyl, in which (C5-C10)-aryl and (3-12)-membered-heterocycle are optionally substituted by at least one
group selected from NRcRd, ORc, (C1-C10)-alkyl, halogen and oxo (=O);
R5' is H, or a group chosen among (C1-C10)-alkyl-R6', (C3-C12)-cycloalkyl, (C2-C10)-alkenyl, benzyl, and, only when R1 and X1 are not H, Me, said groups being optionally substituted by at least one group selected
from halogen, CN, NRcRd, NO2, CONRcRd, COORc, CF3, ORe;
R6 is NRcRd, (3-12)-membered-heteroaryl or (3-12)-membered-heterocycle, in which the fragment
(3-12)-membered-heteroaryl or (3-12)-membered-heterocycle is optionally substituted
by at least one group selected from NRcRd, ORe, (C1-C10)-alkyl, (C1-C10)-alkyl-(3-12)-membered-heterocycle, halogen and oxo;
R6' is NRcRd or (3-12)-membered-heterocycle, in which the (3-12)-membered-heterocycle is optionally
substituted by at least one group selected from (C1-C10)-alkyl;
R1 is H, methyl, -(C1-C6) alkyl-NRaRb, COR7, (3-12)-membered-azaheterocycle optionally substituted by at least one group selected
from (C1-C10)-alkyl, or (C1-C6)-alkyl substituted by at least one group selected from epoxide and (3-12)-membered-azaheterocycle,
both optionally substituted by at least one group selected from (C1-C10)-alkyl,
Ra and Rb are independently from each other (C1-C6) alkyl or H, at least one of Ra and Rb being a (C1-C6) alkyl;
Rc, Rd and Re are for each occurence independently from each other (C1-C6) alkyl or H; R3 is H, (C1-C6) alkyl, (C1-C6) alkyl substituted by NRcRd;
R7 is (C1-C10)-alkyl, (C5-C10)-aryl;
[0077] With the proviso that:
- R3 is H, and R2 is H; or
- At least one of Y1 and Y2 is not H; or
- At least one of R1, R2, R3 and X1 is not H or methyl, with R1, R2, R3 and X1 being such as:
X1 is H, methyl, CONHR5, (CH2-CH2O)m-H with m=2-4, in which the fragments (C1-C10)-alkyl are optionally substituted by at least one group selected from halogens;
R2 is chosen from H, methyl, (C1-C10)-alkyl-R4-, CONHR5', (CH2-CH2O)m-H with m=2-4, (C1-C10)-alkyl substituted by at least one or two groups selected from halogen, -OH and -O-(C1-C10)-alkyl, in particular -OH;
R5 is a group chosen among (C1-C10)-alkyl-R6, and a (3-12)-membered-heteroaryl, in particular pyridyl, said group being optionally
substituted by at least one group selected from halogen, CN, NRcRd, NO2, CONRcRd, COORc, CF3, ORe,
R4' is NRcRd;
R5' is H, or a group chosen among (C1-C10)-alkyl-R6' and benzyl, said groups being optionally substituted by at least one group selected
from halogen, CN, NRcRd, NO2, CONRcRd, COORc, CF3, ORe;
R6 is (3-12)-membered-heteroaryl, in particular pyridyl, or (3-12)-membered-heterocycle,
in particular piperazinyl, in which the fragment (3-12)-membered-heteroaryl or (3-12)-membered-heterocycle
is optionally substituted by at least one group selected from NRcRd, ORe, (C1-C10)-alkyl, (C1-C10)-alkyl-(3-12)-membered-heterocycle, halogen and oxo;
R6' is (3-12)-membered-heterocycle, in which the (3-12)-membered-heterocycle is optionally
substituted by at least one group selected from (C1-C10)-alkyl;
R1 is H, methyl, -(C1-C6)alkyl-NRaRb, COR7, (3-12)-membered-azaheterocycle, in particular azepanyl, optionally substituted by
at least one group selected from (C1-C10)-alkyl, or (C1-C6)-alkyl substituted by at least one group selected from epoxide and (3-12)-membered-azaheterocycle,
in particular pyrrolidinyl or piperazinyl, both epoxide and (3-12)-membered-azaheterocycle
being optionally substituted by at least one group selected from (C1-C10)-alkyl,
Ra and Rb are independently from each other (C1-C6) alkyl or H, at least one of Ra and Rb being a (C1-C6) alkyl;
Rc, Rd and Re are for each occurence independently from each other (C1-C6) alkyl or H; R3 is H, (C1-C6) alkyl, in particular methyl;
R7 is methyl or phenyl, in particular methyl.
[0078] All embodiments mentioned above, for example related to formula (I) or (II), apply
here as well, alone or in combination.
[0079] In a particular embodiment, at least one of R
1, R
2, R
3 and X
1 is not H or methyl, with R
1, R
2, R
3 and X
1 being such as:
X1 is H, methyl, CONHR5, in which the fragments (C1-C10)-alkyl are optionally substituted by at least one group selected from halogens;
R2 is chosen from H, methyl, (C1-C10)-alkyl-R4-, CONHR5', (C1-C10)-alkyl substituted by at least one or two groups selected from halogen, -OH and -O-(C1-C10)-alkyl, in particular -OH;
R5 is a group chosen among -CH2-pyridyl, (C1-C10)-alkyl-piperazinyl, and pyridyl, said group being optionally substituted by at least
one group selected from NRcRd, ORe, (C1-C10)-alkyl, (C1-C10)-alkyl-(3-12)-membered-heterocycle, halogen and oxo;
R4' is N(CH3)2;
R5' is H, or a group chosen among (C1-C10)-alkyl-R6' and benzyl, said groups being optionally substituted by at least one group selected
from halogen, CN, NRcRd, NO2, CONRcRd, COORc, CF3, ORe;
R6' is (3-12)-membered-heterocycle, in which the (3-12)-membered-heterocycle is optionally
substituted by at least one group selected from (C1-C10)-alkyl;
R1 is H, methyl, -(C1-C6)alkyl-NRaRb, azepanyl, optionally substituted by at least one group selected from (C1-C10)-alkyl, or (C1-C6)-alkyl substituted by at least one group selected from epoxide and pyrrolidinyl or
piperazinyl, both epoxide and (3-12)-membered-azaheterocycle being optionally substituted
by at least one group selected from (C1-C10)-alkyl,
Ra and Rb are independently from each other (C1-C6) alkyl or H, at least one of Ra and Rb being a (C1-C6) alkyl;
Rc, Rd and Re are for each occurence independently from each other (C1-C6) alkyl or H; R3 is H, (C1-C6) alkyl, in particular methyl.
Definitions
[0081] The following terms and expressions contained herein are defined as follows:
As used herein, a range of values in the form "x-y" or "x to y", or "x through y",
include integers x, y, and the integers therebetween. For example, the phrases "1-6",
or "1 to 6" or "1 through 6" are intended to include the integers 1, 2, 3, 4, 5, and
6. Preferred embodiments include each individual integer in the range, as well as
any subcombination of integers. For example, preferred integers for "1-6" can include
1, 2, 3, 4, 5, 6, 1-2, 1-3, 1-4, 1-5, 2-3, 2-4, 2-5, 2-6, etc.
[0082] As used herein, the term "patient" or "subject" refers to a warm blooded animal such
as a mammal, preferably a human, or a human child, which is afflicted with, or has
the potential to be afflicted with one or more diseases and conditions described herein.
[0083] By drug-susceptible malaria is meant a case wherein malaria is treated or prevented
when the recommended drug dosage is used.
[0084] By drug-resistant malaria is meant a case wherein malaria is not treated or prevented
when the recommended drug dosage is used.
Synthesis
[0085] The compounds of the present invention may be prepared in a number of methods well
known to those skilled in the art, including, but not limited to those described below,
or through modifications of these methods by applying standard techniques known to
those skilled in the art of organic synthesis. The appropriate modifications and substitutions
will be readily apparent and well known or readily obtainable from the scientific
literature to those skilled in the art. In particular, such methods can be found in
R.C. Larock, Comprehensive Organic Transformations, Wiley-VCH Publishers, 1999.
[0086] All processes disclosed in association with the present invention are contemplated
to be practiced on any scale, including milligram, gram, multigram, kilogram, multikilogram
or commercial industrial scale.
[0087] It will be appreciated that the compounds of the present invention may contain one
or more asymmetrically substituted carbon atoms, and may be isolated in optically
active or racemic forms. Thus, all chiral, diastereomeric, racemic forms, isomeric
forms of a structure are intended, unless the specific stereochemistry or isomeric
form is specifically indicated. It is well-known in the art how to prepare and isolate
such optically active forms. For example, mixtures of stereoisomers may be separated
by standard techniques including, but not limited to, resolution of racemic forms,
normal, reverse-phase, and chiral chromatography, preferential salt formation, recrystallization,
and the like, or by chiral synthesis either from chiral starting materials or by deliberate
synthesis of target chiral centers.
[0088] Compounds of the present invention may be prepared by a variety of synthetic routes.
The reagents and starting materials are commercially available, or readily synthesized
by well-known techniques by one of ordinary skill in the arts. All substituents, unless
otherwise indicated, are as previously defined.
[0089] In the reactions described hereinafter, it may be necessary to protect reactive functional
groups, for example hydroxy, amino, imino, thio or carboxy groups, where these are
desired in the final product, to avoid their unwanted participation in the reactions.
Conventional protecting groups may be used in accordance with standard practice, for
examples see
T.W. Greene and P. G. M. Wuts in Protective Groups in Organic Chemistry, 3rd ed.,
John Wiley and Sons, 1999;
J. F. W. McOmie in Protective Groups in Organic Chemistry, Plenum Press, 1973.
[0090] The reagents and starting materials are commercially available, or readily synthesized
by well-known techniques by one of ordinary skill in the arts.
[0091] In particular, the compounds defined above are obtained according to the procedures
described in patent applications
WO2017/055632 and
WO2017/055633.
FIGURES
[0092]
Figure 1 illustrates the assay of stage-specificity of compound 84 during the asexual cell
cycle, as described in example 3.
Figure 2 illustrates the ring-stage survival (RSA) assays of compound 84, as described in
example 4.
Figure 3 illustrates the speed of action of compounds 84 and 121 compared to dihydroartemisinin
(DHA) and pyrimethamine (PYR), as described in example 5.
Figure 4 illustrates the in vivo activity of compound 84 according to the invention, as described in example 6.
EXAMPLES
Synthesis of compounds of the invention
Synthesis of 84
[0093]

[0094] To a suspension of NaH (90%) (11.7 mg, 0.44 mmol, 5.0 equiv) in dry DMF (1.0 mL)
was added Cocsuline (50 mg, 0.088, 1.0 equiv) in dry DMF (2.0 mL) at 0 °C and was
stirred for 30 min at RT. To the reaction mixture 3-dimethylaminopropylchloride hydrochloride
(41.9 mg, 0.26 mmol, 3.0 equiv) and a crystal of KI (1.0 mg) was added and stirred
at 80 °C overnight.. The reaction mixture was quenched by drops of a saturated solution
of NaHCO
3 and the volatiles were removed under reduced pressure. The residue was partitioned
between ethyl acetate and a saturated solution of NaHCO
3. The organic layer was separated and the aqueous layer was extracted 3 time with
EtOAc. The combined organic layers were dried over Na
2SO
4 and the solvent was removed under reduced pressure. The residue was purified by silica
gel flash chromatography using a linear gradient of DCM/methanol (NH3) (0 to 20%).
The desired product
84 was obtained as a yellow powder (41 mg, 72%).
Rf = 0.51 (DCM/(MeOH/NH
3 10%) 90/10).
1H NMR (DMSO-
d6, 500 MHz): δ (ppm) = 7.62 (d, 1H,
J = 10 Hz), 7.25-7.19 (m, 2H), 6.89-6.88 (m, 1H), 6.67 (s, 1H), 6.53 (s, 1H), 6.47
(s, 1H), 6.01 (s, 1H), 4.12 (t, 2H,
J = 5 Hz), 3.96 (s br, 1H), 3.81 (s, 3H), 3.35 (s, br, 2H), 3.28 (d, 1H,
J = 15 Hz), 3.09 (s, br, 1H), 3.06-3.02 (m, 1H), 2.90-2.79 (m, 4H), 2.64-2.59 (m, 4H),
2.44 (t, 3H,
J = 5 Hz), 2.53-2.50 (m, 4H), 2.31 (s, 6H), 2.19 (s, 3H), 1.96-1.91 (m, 2H).
13C NMR (DMSO-
d6, 125 MHz): δ (ppm) = 156.4, 153.1, 149.0, 148.7, 142.9, 141.9, 141.9, 141.5, 138.6,
137.9, 134.2, 133.4, 131.6, 131.3, 131.0, 125.4, 124.8, 124.7, 123.3, 119.6, 116.5,
110.1, 70.4, 70.1, 62.7, 58.9, 58.8, 58.0, 52.9, 48.3, 47.8, 45.89, 44.70, 44.19,
30.63, 30.19, 26.64.
MS (ESI): [M+H]
+ C
40H
46N
3O
5: calcd. 648.3, found 648.3.
[0095] Compounds 73, 74, 75, 78 and 82 were obtained similarly, using the corresponding
R-Cl starting material instead of 3-dimethylaminopropylchloride hydrochloride.
[0096] Compound 10 was obtained by acetylation of cocsuline by methods well known from the
skilled in the art.
Synthesis of Nor-Trilobine
[0097]
Step 1: To a stirred solution containing Iso-trilobine (100 mg, 0.17 mmol, 1.0 equiv) in
DCM (10 mL) was added mCPBA 77% (85 mg, 0.38 mmol, 2.2 eq.). The reaction mixture
was stirred at RT for 2 h, then diluted with DCM and a saturated solution of NaHCO3. The organic layer was separated and the aqueous layer was extracted 3 times with
EtOAc . The combined organic layers were dried over Na2SO4 then concentrated under reduced pressure. The residue was used without further purification.
Step 2: To a stirred solution of the crude product of Step 1 in MeOH at 0°C (25.0 mL) was
added FeSO4.7H2O (144.3 mg, 0.51 mmol, 3.0 equiv). The reaction mixture was stirred at RT overnight,
then concentrated under reduced pressure and the residue was dissolved with EDTA (5
mL - 0.1M), adjusted to pH=10 with NH3 solution and extracted 3 times with EtOAc .
The combined organic layers were dried over Na2SO4 then concentrated under reduced pressure to give a crude mixture of main three products
(the starting Iso-trilobine, Trilobine and Nor-trilobine). The crude residue was purified
by silica gel chromatography using a linear gradient of DCM/methanol (NH3) (0 to 20%)
to give the desired Nor-Trilobine product (30 mg, 32%). The spectral data is in agreement
with the reported natural product.
1H NMR (Methanol-d4, 500 MHz): δ (ppm) = 7.58 (dd, 1H, J = 8.4, 2.2 Hz), 7.20 (dd, 1H, J = 8.3, 2.6 Hz), 7.07 (dd, 1H, J = 8.3, 2.2 Hz), 7.04 (d, 1H, J = 8.4 Hz), 7.02 (dd, 1H, J = 8.3, 2.0 Hz), 6.74 (dd, 1H, J = 8.4, 2.5 Hz), 6.62 (s, 1H), 6.61 (d, 1H, J = 1.8 Hz), 6.57 (s, 1H), 6.27 (s, 1H), 4.37 (dd, 1H, J = 5.8, 1.5 Hz), 3.91 (s, 3H), 3.80 (m, 1H), 3.79 (s, 3H), 3.45-3.34 (m, 3H), 3.19
(m, 1H), 3.12-2.98 (m, 3H), 2.93-2.88 (m, 3H), 2.83 (m, 1H), 2.71 (m, 1H).
13C NMR (Methanol-d4, 125 MHz): δ (ppm) = 157.3, 151.3, 149.8, 148.7, 142.0, 141.0, 139.9, 138.4, 133.8,
133.5, 132.7, 130.9, 130.5, 128.6, 124.2, 123.6, 122.3, 119.6, 119.2, 117.2, 114.8,
114.6, 108.9, 59.7, 57.0, 56.9, 54.3, 44.2, 42.6, 40.8, 38.2, 27.6, 26.9.
HRMS (ESI): [M+H]+ C34H33N2O5: calcd. 549.2384, found 549.2388.
Synthesis of 121
[0098]

[0099] To a stirred solution containing Nor-Trilobine (56 mg, 0.10 mmol, 1.0 eq.) in dry
DCM (10.0 mL) was added BBr
3 (1M in DCM) (0.30 mL, 0.30 mmol, 3.0 eq.). The reaction mixture was stirred at RT
for 16 h then was diluted with DCM and a saturated solution of NaHCO
3. The organic layer was separated and the aqueous layer extracted 3 times with EtOAc.
The combined organic layers were dried over Na
2SO
4 and concentrated under reduced pressure. The residue was purified by silica gel flash
chromatography using a linear gradient (DCM/MeOH (NH3) 70/30) to give the desired
product
121 (52 mg, 98%).
Rf = 0.32 (DCM/(MeOH/NH
3 10%) 80/20).
1H NMR (DMSO-
d6, 500 MHz): δ (ppm) 10.02 (s br, 1H), 9.45 (s, br, 2H), 7.35 (d, 1H,
J = 10 Hz), 7.27-7.25 (m, 1H), 7.09-7.08 (m, 1H), 6.99-6.98 (m, 1H), 6.91-6.88 (m,
2H), 6.73-6.71 (m, 1H), 6.59 (m, 1H), 6.49 (s, 1H), 6.35 (s, 1H), 4.45 (d, 1H,
J = 5 Hz), 4.01 (d, 1H,
J = 10 Hz), 3.46-3.37 (m, 4H), 3.17 (d, 1H,
J = 5 Hz), 3.09-2.79 (m, 8H).
13C NMR (DMSO-
d6, 125 MHz): δ (ppm) 158.9, 150.5, 148.9, 148.2, 143.4, 141.9, 141.3, 137.7, 135.1,
134.2, 133.2, 131.8, 131.1, 129.6, 126.8, 125.1, 123.6, 122.0, 120.3, 118.9, 116.2,
114.6, 59.1, 58.0, 54.5, 51.6, 38.7, 38.4, 27.6, 26.5.
MS (ESI): [M+H]
+ C
32H
29N
2O
5: calcd. 521.6, found 521.5.
Synthesis of 46
[0100]

[0101] To a suspension of NaH (90%) (50 mg, 0.088 mmol, 5.0 equiv) in dry DMF (1.0 mL) was
added Trilobine (50 mg, 0.088, 1.0 equiv) in dry DMF (2.0 mL) at 0 °C. The reaction
mixture was stirred for 30 min and 3-dimethylaminopropylchloride hydrochloride (41.9
mg, 0.26 mmol, 3.0 equiv) and a crystal of KI (1.0 mg) were added. The reaction mixture
was stirred at 80°C overnight. The reaction mixture was quenched by drops of a saturated
solution of NaHCO
3 and the volatiles were removed under reduced pressure. The residue was partitioned
between EtOAc and a saturated solution of NaHCO
3. The organic layer was separated and the aqueous layer extracted 3 times with EtOAc.
The combined organic layers were dried over Na
2SO
4 and concentrated under reduced pressure. The residue was purified by silica gel flash
chromatography using a linear gradient of DCM/methanol (NH3) (0 to 20%). The desired
product was obtained
46 as a yellow powder (49 mg, 85%).
Rf = 0.74 (DCM/(MeOH/NH
3 10%) 90/10).
1H NMR (DMSO-
d6, 500 MHz): δ (ppm) 7.59 (d, 1H,
J = 10 Hz), 7.21 (d, 1H,
J = 10 Hz), 7.18-7.16 (dd, 1H,
J = 5, 10 Hz), 7.01-6.99 (dd, 1H,
J = 5, 10 Hz), 6.96 (d, 1H,
J =10 Hz), 6.83 (d, 1H,
J =10 Hz), 6.61 (s, 1H), 6.48 (s, 1H), 6.44 (s, 1H), 5.93 (s, 1H), 3.90 (s, br, 1H),
3.84 (s, 3H), 3.79 (s, 3H), 3.49-3.31 (m, 3H), 3.42-3.21 (d, 1H,
J = 15), 3.00-2.96 (m, 1H), 2.87-2.77 (m, 4H), 2.60-2.55 (m, 4H), 2.47 (s, 3H), 2.33-2.24
(m, 3H), 2.18 (s, 6H), 1.51-1.44 (m, 2H).
13C NMR (DMSO-
d6, 125 MHz): δ (ppm) 153.1, 149.6, 146.5, 145.5, 139.9, 138.9, 138.6, 135.8, 134.9,
131.2, 130.3, 128.9, 128.5, 128.1, 122.2, 121.5, 121.4, 120.0, 116.0, 115.3, 113.5,
112.5, 64.9, 59.6, 56.6, 55.8, 55.7, 50.1, 44.9, 44.7, 44.5, 41.5, 41.1, 40.9, 26.7,
24.1, 23.5.
MS (ESI): [M+H]
+ C
40H
46N
3O
5: calcd. 648.3, found 648.3.
Synthesis of 110
[0102]

[0103] To a stirred solution containing Iso-Trilobine (50 mg, 0.086 mmol, 1.0 eq.) in dry
DCM (10.0 mL) was added BBr
3 (1M in DCM) (0.26 mL, 0.26 mmol, 3.0 eq.). The reaction mixture was stirred at RT
for 16 h, then diluted with DCM and saturated solution of NaHCO
3. The organic layer was separated and the aqueous layer extracted 3 times with EtOAc.
The combined organic layers were dried over Na
2SO
4 and concentrated under reduced pressure. The residue was purified by silica gel flash
chromatography using a linear gradient (DCM/MeOH (NH3) 80/20) to give the desired
product
110 (42 mg, 89%).
Rf = 0.35 (DCM/(MeOH/NH
3 10%) 80/20).
1H NMR (DMSO-
d6, 500 MHz): δ (ppm) 9.48 (s br, 1H), 9.32 (s br, 1H), 7.57 (d, 1H,
J = 10 Hz), 7.20-7.15 (m, 2H), 7.02 (d, 1H,
J = 5 Hz), 6.81-6.79 (m, 1H), 6.75-6.73 (m, 1H), 6.60 (s, 1H), 6.41 (s, 1H), 6.30 (s,
1H), 6.00 (s, 1H), 4.08 (s br, 1H), 3.90 (s br, 1H), 3.26-3.23 (d, 1H,
J = 15 Hz), 3.17 (s, 2H), 3.09 (s br, 1H), 3.02-2.98 (m, 1H), 2.85-2.74 (m, 3H), 2.67-2.54
(m, 3H), 2.49 (s, 3H), 2.42-2.36 (m, 1H), 2.28 (s, 3H).
13C NMR (DMSO-
d6, 125 MHz): δ (ppm) 156.8, 151.7, 147.4, 146.5, 142.7, 142.1, 142.0, 141.7, 136.0,
134.1, 133.2, 131.3, 131.0, 130.7, 125.4, 125.0, 124.6, 119.8, 119.5, 118.3, 116.5,
113.7, 70.4, 62.7, 58.0, 53.0, 51.7, 47.7, 44.6, 44.1, 30.4, 26.3.
MS (ESI): [M+H]
+ C
34H
33N
2O
5: calcd. 549.6, found 549.6.
Synthesis of 113
[0104]

[0105] To a stirred solution of compound
84 (10 mg, 0.015mmol, 1.0 eq.) in dry DCM (3.0 mL) was added BBr
3 (1M in DCM) (0.045 mL, 0.045 mmol, 3.0 eq.). The reaction mixture was stirred at
RT for 16 h and was then diluted with DCM and a saturated solution of NaHCO
3. The organic layer was separated and the aqueous layer extracted 3 times with EtOAc.
The combined organic layers were dried over Na
2SO
4 and concentrated under reduced pressure. The residue was purified by silica gel flash
chromatography using a linear gradient (DCM/MeOH (NH3) 80/20) to give the desired
product
113 (2 mg, 25%).
Rf = 0.35 (DCM/(MeOH/NH
3 10%) 80/20).
1H NMR (DMSO-
d6, 500 MHz): δ (ppm) = 9.48 (s br, 1H), 7.58 (d, 1H,
J = 10 Hz), 7.21 (d, 1H,
J = 10 Hz), 7.18-7.16 (dd, 1H,
J = 5, 10 Hz), 7.04-7.02 (dd, 1H,
J = 5, 10 Hz), 6.98 (d, 1H,
J = 10 Hz), 6.68 (d, 1H,
J = 10 Hz), 6.60 (s, 1H), 6.44 (s, 1H), 6.29 (s, 1H), 5.98 (s, 1H), 4.09 (t, 2H,
J = 5 Hz), 3.90 (s br, 1H), 3.06 (s br, 1H), 3.01-2.98 (m, 1H), 2.88-2.85 (m, 1H),
2.78-2.72 (m, 3H), 2.63-2.56 (m, 4H), 2.48 (s, 3H), 2.44-2.36 (m, 5H), 2.28 (s, 3H),
2.17 (s, 6H), 1.94-1.88 (m, 2H).
13C NMR (DMSO-
d6, 125 MHz): δ (ppm) 156.3, 153.1, 149.0, 146.4, 144.7, 143.0, 142.1, 142.0, 141.8,
138.4, 137.9, 134.2, 133.2, 131.3, 131.0, 130.8, 124.8, 124.7, 121.7, 119.5, 118.3,
113.7, 70.4, 70.0, 62.7, 58.8, 52.9, 52.1, 48.3, 47.8, 46.4, 45.8, 44.7, 44.2, 30.1,
26.4.
MS (ESI): [M+H]
+ C
39H
44N
3O
5: calcd. 634.7, found 634.7.
Synthesis of 122
[0106]

[0107] To a stirred solution of Trilobine (50 mg, 0.088 mmol, 1.0 eq.) in dry DCM (10.0
mL) was added BBr
3 (1M in DCM) (0.26 mL, 0.26 mmol, 3.0 eq.). The reaction mixture was stirred at RT
for 16 h and then diluted with DCM and saturated solution of NaHCO
3. The organic layer was separated and the aqueous layer extracted 3 times with EtOAc.
The combined organic layers were dried over Na
2SO
4 and concentrated under reduced pressure. The residue was purified by silica gel flash
chromatography using a linear gradient (DCM/MeOH (NH3) 80/20) to give the desired
product
122 (35 mg, 74%).
Rf = 0.26 (DCM/(MeOH/NH
3 10%) 80/20).
1H NMR (DMSO-
d6, 500 MHz): δ (ppm) = 9.63 (s br, 1H), 9.32 (s br, 1H), 7.68 (d, 1H,
J = 10 Hz), 7.20-7.19 (m, 2H), 7.02-7.00 (dd, 1H,
J = 5, 10 Hz), 6.80-6.79 (m, 1H), 6.74-6.72 (m, 1H), 6.58 (s, 1H), 6.39 (s, 1H), 6.32
(s, 1H), 6.02 (s, 1H), 4.34 (s br, 1H), 3.29-3.26 (m, 4H), 3.15 (m, 2H), 3.09 (s br,
2H), 2.45-2.24 (m, 1H), 2.82-2.68 (m, 4H), 2.62-2.53 (m, 3H), 2.28 (s, 3H).
13C NMR (DMSO-
d6, 125 MHz): δ (ppm) = 157.1, 151.6, 147.5, 147.1, 142.0, 141.8, 141.5, 137.5, 136.1,
134.1, 133.3, 131.7, 131.2, 126.0, 125.1, 125.1, 124.5, 119.9, 119.6, 118.3, 116.5,
113.9, 70.3, 55.9, 52.5, 51.7, 45.7, 43.9, 40.5, 33.8, 30.4.
MS (ESI): [M+H]
+ C
33H
31N
2O
5: calcd. 535.6, found 535.6.
Synthesis of 116
[0108]
Step 1: To a stirred solution containing 2'-NorCocsuline (50 mg, 0.091 mmol, 1.0 equiv) in
DCM (5.0 mL), Boc2O (21.8 mg, 0.10 mmol, 1.1 equiv) and Et3N (15 µL, 0.140 mmol, 1.1 equiv) were added
and the reaction mixture was stirred at RT. for 24h. The solvent was evaporated and
the residue was purified by silica gel flash chromatography using a linear gradient
(DCM/MeOH 95/5) to give the desired protected product (35 mg, 60%).
Step 2: To a suspension of NaH (90%) (7.1 mg, 0.26 mmol, 5.0 equiv) in dry DMF (1.0 mL) was
added the product of step 1 (35 mg, 0.053, 1.0 equiv) in dry DMF (2.0 mL) at 0 °C. The reaction mixture was stirred
at RT for 30 min and then 3-dimethylaminopropylchloride hydrochloride (25.13 mg, 0.26
mmol, 3.0 equiv) and a crystal of KI (1.0 mg) were added. The reaction mixture was
stirred at 80 °C overnight and then quenched by drops of a saturated solution of NaHCO3. Volatiles were removed under reduced pressure and the residue was partitioned between
ethyl acetate and saturated solution of NaHCO3. The organic layer was separated and the aqueous layer extracted 3 times with EtOAc.
The combined organic layers were dried over Na2SO4 and concentrated under reduced pressure. The residue was purified by silica gel flash
chromatography using a linear gradient of DCM/methanol (NH3) (0 to 20%). The desired
product was obtained as a yellow powder (30 mg, 77%).
Step 3: To a solution of the product of step 2 (10 mg, 0.013 mmol) in DCM (1.0 mL) was added TFA (0.5 mL). The reaction mixture
was stirred overnight at RT. The volatiles were evaporated and the residue was purified
by silica gel flash chromatography using a linear gradient (DCM/MeOH(NH3) 8/2) to
give the desired product as white solid 116 (8 mg, 97%).
Rf = 0.19 (DCM/(MeOH/NH3 10%) 80/20).
1H NMR (DMSO-d6, 500 MHz): δ (ppm) = 7.64 (d, 1H, J = 5), 7.19-7.18 (m, 2H), 7.01-6.95 (m, 2H), 6.84-6.82 (m, 1H), 6.61 (s, 1H), 6.45-6.42
(m, 2H), 6.01 (s, 1H), 4.16 (s br, 1H), 4.07 (t, 2H, J = 5 Hz), 3.75 (s, 3H), 3.18-3.16 (d, 1H, J = 15), 3.09 (s br, 1H), 3.00-2.95 (m, 2H), 2.88-2.85 (m, 2H), 2.76-2.96 (m, 3H),
2.61-2.51 (m, 4H), 2.39 (m, 3H), 2.30 (s, 3H), 2.14 (s, 6H), 1.90-1.87 (m, 2H).
13C NMR (DMSO-d6, 125 MHz): δ (ppm) 153.3, 149.9, 146.0, 145.4, 140.3, 138.8, 138.0, 135.8, 134.9,
131.1, 130.0, 129.1, 128.4, 128.1, 121.9, 121.8, 121.3, 116.5, 115.2, 114.3, 113.5,
107.2, 67.1, 67.0, 55.8, 55.7, 54.9, 49.0, 45.2, 44.6, 42.8, 41.1, 38.1, 27.7, 27.4,
27.1.
MS (ESI): [M+H]+ C39H44N3O5: calcd. 634.78, found 634.7.
Synthesis of 124
[0109]

[0110] To a stirred solution of
46 (5 mg, 0.0036 mmol, 1.0 eq.) in dry DCM (2.0 mL) was added BBr
3 (1M in DCM) (0.010 mL, 0.010 mmol, 3.0 eq.). The reaction mixture was stirred at
room temperature for 16 h and was then diluted with DCM and a saturated solution of
NaHCO
3. The organic layer was separated and the aqueous layer extracted with EtOAc 3 times.
The combined organic layers were dried over Na
2SO
4 and concentrated under reduced pressure. The residue was purified by silica gel flash
chromatography using a linear gradient (DCM/MeOH (NH3) 80/20) to give the desired
product
124 (2 mg, 86%).
Rf = 0.21 (DCM/(MeOH/NH
3 10%) 80/20).
1H NMR (DMSO-
d6, 500 MHz): δ (ppm) 9.50 (s br, 1H), 9.32 (s br, 1H), 7.60 (m, 1H), 7.23-7.21 (m,
2H), 7.02-7.01 (m, 2H), 6.81-6.79 (m, 1H), 6.60 (s, 1H), 6.73 (s, 1H), 6.30 (s, 1H),
5.97 (s, 1H), 4.09 (s br, 2H), 3.89 (s br, 1H), 3.17 (s, 2H), 2.85-.273 (m, 6H), 2.63-2.51
(m, 7H), 2.48 (s, 3H), 2.40 (s, 6H), 2.19-2.16 (m, 2H)
13C NMR (DMSO-
d6, 125 MHz): δ (ppm) 153.6, 148.6, 144.3, 143.4, 139.1, 138.8, 138.8, 135.5, 134.6,
133.3, 131.6, 131.1, 130.2, 130.1, 128.1, 127.9, 123.3, 121.8, 120.1, 116.6, 116.4,
115.2, 69.7, 65.0, 59.7, 56.2, 56.0, 49.7, 48.5, 44.9, 43.6, 41.5, 31.2, 29.0, 28.6.
MS (ESI): [M+H]
+ C
38H
42N
3O
5: calcd. 620.7, found 620.7.
Synthesis of 123
[0111]

[0112] To a stirred solution containing HH_1225 (10 mg, 0.018 mmol, 1.0 equiv) in EtOH (2.0
mL) was added dimethyl amine hydrochloride (7.4 mL, 0.091 mmol, 5.0 equiv) and para
formaldhyde (5.40 mg, 0.18 mmol, 10 equiv). The reaction mixture was stirred at 90
°C for 16 h. Solvent was removed under vaccum and the residue was diluted with EtOAc
and a solution of saturated NaHCO
3. The organic layer was separated and the aqueous layer extracted 3 times with EtOAc.
The combined organic layers were dried over Na
2SO
4 and concentrated under reduced pressure. The residue was purified by silica gel flash
chromatography using a linear gradient (DCM/MeOH (NH3) 90/10) to give the desired
product
123 (5.0 mg, 60%).
MS (ESI): [M+H]
+ C
40H
47N
4O
5: calcd. 663.8, found 663.8.
Synthesis of 87
[0113]

[0114] To a solution of nortrilobine (6.3 mg, 11.49 (µmol) in 500 µL of DCM were added
N-(3-(diethylamino)propyl)-1
H-imidazole-1-carboxamide (10.32 mg, 46.00 (µmol) and triethylamine (6 µL, 44.44µmol).
The mixture was stirred at RT for 24 hours., then concentrated under reduced pressure
and the residue was purified by HPLC semi-preparative X-Terra RP-18, eluting with
a linear gradient H
2O/MeCN with 0.02% triethylamine (80:20 to 0:100), to give
87 (3.1 mg, 3.60 µmol, 31%).
1H NMR (500MHz, CDCl3) δ 8.16 (1H, br d,
J = 8.5 Hz,), 7.30 (1H, dd,
J = 8.4 Hz,
J = 2.7 Hz), 7.16 (1H, br dd,
J = 8.2 Hz,
J = 1.9 Hz), 7.05 (1H, dd,
J = 8.2 Hz,
J = 2.5 Hz), 6.90 (1H, d,
J = 8.3 Hz), 6.79 (1H, dd,
J = 8.3 Hz, 25
J = 1.8 Hz), 6.62 (1H, d,
J = 2.0 Hz), 6.61 (1H, s), 6.32 (1H, s), 6.11 (1H, s), 5.80 (1H, br), 4.65 (1H, br),
4.26 (1H, br d,
J = 12.0Hz), 4.01 (1H, m), 3.98 (3H, s), 3.85 (3H, s), 3.44 (4H, m), 3.33 (1H, br d,
J = 15.5 Hz), 3.19 (1H, m), 3.06-2.92 (5H, m), 2.89-2.76 (8H, m), 2.73 (1H, m), 2.69-2.61
(5H, m), 2.51 (1H, br d,
J = 16.3 Hz), 1.92 (2H, m), 1.73 (2H, m), 1.16 (12H, m).
13C NMR (125MHz, CDCl3) δ 157.3, 157.2, 154.2, 150.8, 147.7, 146.4, 139.9, 139.3, 139.2, 134.6, 131.1, 130.2,
129.8, 128.5, 123.2, 121.8, 121.5, 121.2, 116.8, 116.1, 114.2, 112.3, 106.7, 58.4
, 56.6, 56.3, 52.2, 50.0, 46.5, 46.0, 45.4, 39.2, 38.1, 28.2, 27.4, 25.5, 24.8, 15
9.8, 9.4.
HRMS-ESI (m/z) calculated for C
50H
65N
6O
7 [M+H]
+: 862.4909; Found: 862.4892.
Synthesis of 88
[0115]

[0116] To a solution of
O-methylcocsoline (10.5 mg, 18.68 (µmol) in 500 µL of THF were added
N-(3-(diethylamino)propyl)-1
H-imidazole-1-carboxamide (2.5 mg, 36.55 (µmol) and triethylamine (5 µL, 37.03 µmol).
The mixture was stirred at RT for 24 hours. The reaction mixture was concentrated
under reduced pressure and the residue was purified by HPLC semi-preparative X-Terra
RP-18, eluting with a linear gradient H
2O/MeCN with 0.02% triethylamine (85:15 to 70:30), to give
88 (12 mg, 16.71 µmol, 89%).
1H NMR (500MHz, CDCl3) δ 7.66 (1H, br d,
J = 7.8 Hz), 7.28 (1H, br), 7.17 (1H, br d,
J = 7.9 Hz), 7.11 (1H, br d,
J = 7.9 Hz), 6.91 (1H, d, J = 8.1 Hz), 6.78 (1H, br d,
J = 7.9 Hz), 6.67 (1H, br), 6.63 (1H, s), 6.33 (1H, s), 6.12 (1H, s), 4.77 (1H, br),
4.26 (1H, br d,
J = 11.6 Hz), 4.09 (1H, br), 3.98 (3H, s), 3.87 (3H, s), 3.41(1H, br d,
J = 15.3 Hz), 3.29-3.18 (3H, m,), 3.08-2.94 (8H, m), 2.88 (2H, m,), 2.82-2.73 (3H,
m, H-4), 2.63 (3H, s,), 2.54 (2H, m), 1.87 (2H, m,), 1.24 (6H, t,
J = 7.1 Hz).
13C NMR (125MHz, CDCl3) δ 157.2, 154.4, 150.5, 147.8, 146.5, 140.0, 139.8, 139.7, 134.6, 131.5, 130.2, 129.8,
128.4, 127.3, 122.8, 122.0, 121.8, 119.5, 116.9, 116.2, 114.1, 112.5, 106.6, 61.0,
58.0, 56.5, 56.4, 48.9, 46.5, 45.6, 45.2, 42.1, 41.5, 38.2, 38.1, 28.2, 24.7, 23.3,
8.5.
HRMS-ESI (m/z) calculated for C
43H
51N
4O
6 [M+H]
+: 719.3803; Found: 719.3794.
Synthesis of 89
[0117]

[0118] To a solution of trilobine (10.5 mg, 18.68 (µmol) in 500 µL of DCM were added
N-(3-(diethylamino)propyl)-1
H-imidazole-1-carboxamide (8.4 mg, 37.44 (µmol) and triethylamine (5 µL, 37.03µmol).
The mixture was stirred at RT for 24 hours, then concentrated under reduced pressure
and the residue was purified by HPLC semi-preparative X-Terra RP-18, eluting with
a linear gradient H
2O/MeCN with 0.1% formic acid (85:15 to 70:30), to give
89 (8 mg, 11.14 µmol, 59%).
1H NMR (500MHz, CDCl3) δ 7.96 (1H, br d,
J = 7.4 Hz), 7.19 (1H, br d,
J = 7.4 Hz), 6.97 (2H, br m), 6.88 (2H, br m), 6.67 (1H, s), 6.60 (1H, br), 6.43 (1H,
s), 6.35 (1H, s), 5.67 (1H, br d,
J = 5.8 Hz), 3.94 (3H, s), 3.88 (3H, s), 3.69-3.59 (3H, m), 3.49-3.40 (2H, m3.28 (2H,
m), 3.11 (1H, br d,
J = 14.4 Hz), 3.04-2.97 (6H, m), 2.94-2.83 (4H, m), 2.74- 2.66 (3H, m), 2.35 (3H, s),
2.01 (2H, m), 1.25 (6H, t,
J = 7.0 Hz).
13C NMR (125MHz, CDCl3) δ 157.8, 154.4, 149.8, 147.7, 146.5, 140.6, 139.7, 138.7, 137.6, 132.7, 131.3, 131.0,
130.8, 130.6, 129.9, 129.7, 123.1, 122.8, 121.3, 120.3, 117.4, 115.8, 114.8, 112.5,
106.8, 64.8, 56.6 , 56.3, 51.4, 50.9, 49.1, 49.2, 45.6, 40.9, 39.5, 38.1, 37.3, 28.3,
26.3, 24.6, 8.6.
HRMS-ESI (m/z) calculated for C
43H
51N
4O
6 [M+H]
+: 719.3803; Found: 719.3794.
Synthesis of 68
[0119]

[0120] To a solution of NaH (1.28 mg, 0.053 mmol, 3.0 equiv) in DMF (200 µL) were added
Cocsuline (10.0 mg, 0.018 mmol, 1.0 equiv) and 1-(3-chloropropyl)-4-methylpiperazine
(3.14 mg, 0.018 mmol) The mixture was stirred at RT for 24h, then concentrated under
reduced pressure and the residue was purified by HPLC semi-preparative X-Terra RP-18,
eluting with a linear gradient H
2O/MeCN (85:15 to 70:30), to give
68 (5 mg, 40%).
1H NMR (500MHz, CDCl3) δ 7.60 (dd, 1H), 7.28 (s, 1H), 7.22-7.15 (m, 1H), 7.0 (m, 1H), 6.90 (d, 1H), 6.85-6.80
(1H), 6.65 (s, 1H), 6.60 (s, 1H), 6.33 (s, 1H), 6.15 (s, 1H), 4.20 (t, 2H), 4.05 (m,
1H), 3.78 (s, 3H), 3.49 (s, 6H), 3.38-3.33 (m, 1H), 3.25 (s br, 1H), 3.21-3.16 (m,
1H), 2.99-2.85 (m. 4H), 2.81-2.67 (m, 4 H), 2.63-2.48 (m. 11H), 2.41 (s, 4H), 2.30
(s, 3H), 2.14-2.07 (m, 2H).
13C NMR (125MHz, CDCl3) δ 154.3, 150.9, 146.6, 146.2, 139.9, 139.8, 139.6, 139.5, 135.5, 135.4, 131.3, 130.0,
129.7, 128.5, 127.5, 122.8, 121.8, 120.7, 117.6, 115.8, 114.6, 114.2, 106.7, 60.57,
56.4, 55.3, 55.2, 53.3, 50.5, 46.2, 45.3, 42.9, 42.1, 42.1,41.5, 27.8, 27.0, 23.8.
MS-ESI (m/z) calculated for C
43H
51N
4O
5 [M+H]
+: 703.2; Found: 703.4.
Synthesis of 60
[0121]

[0122] A solution containing 1-(2-aminoethyl)-4-methylpiperazine (4µL - 27 (µmol) and (500µL),
1,1carbonyldimidazole (4.5 mg - 28 (µmol) in DCM was stirred at RT for 2h. Next
O-methylcocsoline (5.0 mg - 8.9 (µmol) was added at solution. The reaction mixture
was stirred in at RT for 12h, then concentrated under reduced pressure and the residue
was purified by HPLC semi-preparative X-Terra RP-18, eluting with a linear gradient
H
2O/MeCN with (65:35 to 0:100), to give
60 (1.2 mg, 18%).
1H NMR (500MHz, CDCl3) δ 7.65-7.63 (m, 1H), 7.28-7.7.20 (m, 1H), 6.88-6.85 (m, 1H), 6.81-6.79 (m, 1H), 6.68-6.66
(m, 1H), 6.33 (s, 1H), 6.10 (s, 1H), 4.65-4.60 (m, 1H), 4.48-4.45 (m, 1H), 4.42-4.39
(m, 1H), 4.08-4.05 (m, 1H), 3.97 (s, 3H), 3.87 (s, 3H), 3.39-3.33 (m, 1H), 3.30-3.26
(m,1H), 3.21-3.12 (m, 2H), 3.08-3.04 (m, 1H), 2.98-2.90 (m, 3H), 2.85-2.80 (m, 1H),
2.75-2.70 (m, 2H), 2.62 (s, 3H), 2.55-2.48 (m, 2H), 2.35-2.29 (m, 2H), 2.26 (s, 3H).
MS-ESI (m/z) calculated for C
43H
50N
5O
6 [M+H]
+: 732.8; Found: 732.4.
Synthesis of 48
[0123]

[0124] To a stirred solution of Trilobine (5 mg - 8.9 (µmol) in DMF (500 µL), 3-bromopropane-1,2-diol
(4.0 µL, 46 µmol), KI (1 mg, 6.0 (µmol) and Et
3N (4.0 µL, 30 (µmol) were added and the reaction mixture was stirred at 65°C for 24h.
The reaction mixture was concentrated under reduced pressure and the residue was purified
by HPLC semi-preparative X-Terra RP-18, eluting with a linear gradient H
2O/MeCN (80:20 to 0:100), to give
48 (2.0 mg, 38%).
1H NMR (500MHz, CDCl3) δ 7.63-7.50 (m, 1H), 7.29-2.20 (m, 4H), 7.18-7.11 (m, 2H), 7.00-6.95 (m, 1H), 6.88-6.82
(m, 3H), 6.60-6.53 (m, 2H), 6.30-3.28 (m, 1H), 6.14-6.12 (m, 1H), 4.11-4.09 (m, 1H),
4.08-3.98 (m, 2H), 3.97 (s, 3H), 3.94-3.92 (m, 1H), 3.88 (s, 3H), 3.82-3.78 (m, 1H),
3.65-3.64 (m, 1H), 3.62-3.59 (m, 1H), 3.38-3.35 (m, 1H), 3.25-3.23 (m, 2H), 3.11-2.42
(m, 15 H), 2.40 (s, 3H).
MS-ESI (m/z) calculated for C
38H
41N
2O
7 [M+H]
+: 637.7; Found: 637.2.
Synthesis of 47
[0125]

[0126] To a stirred solution containing
O-methylcocsoline (5.0 mg, 8.9 (µmol) in DMF (500µL), 3-chloro-
N,Ndim6thylpropan-1-amine chloride (7.0 mg, 44.0 µmol), KI (1.0 mg, 6.0 (µmol) and triethylamine
(10.0 µL - 75.0 (µmol) were added and the reaction mixture was stirred at 65°C for
24h. The reaction mixture was concentrated under reduced pressure and the residue
was purified by HPLC semi-preparative X-Terra RP-18, eluting with a linear gradient
H
2O/MeCN (80:20 to 0:100), to give
47 (1.2 mg, 21%).
1H NMR (500MHz, CDCl3) δ 7.61-7.58 (m, 1H), 7.27-7.25 (m, 1H), 7.18-7.15 (m, 1H), 7.02-6.98 (m, 1H), 6.85-6.79
(m, 2H), 6.60-6.58 (m, 1H), 6.39 (s, 1H), 6.07 (s, 1H), 4.05-4.03 (m, 1H), 3.97 (s,
3H), 3.88 (s, 3H), 3.49 (s, 3H), 3.48-3.45 (m, 1H), 3.42-3.39 (m, 1H), 3.28-3.20 (m,
3H), 2.92-2.85 (m, 5H), 2.75-2.60 (m, 5 H), 2.58 (s, 3H), 2.52-2.48 (m, 3H), 2.92-2.85
(m, 2H), 2.25-2.22 (m, 2H), 2.18 (s, 3H).
MS-ESI (m/z) calculated for C
40H
46N
3O
5 [M+H]
+: 648.8; Found: 648.3.
Synthesis of 42
[0127]

[0128] To a stirred solution containing Trilobine (5.0 mg, 8.9 µmol) in DMF (500 µL), 2-(2-(2-chloroethoxy)ethoxy)ethanol
(3.0µL, 21 µmol), KI (1.0 mg - 6.0 µmol) and Et3N (4.0 µL - 30 µmol) were added and
the reaction mixture was stirred at 65°C for 24h. The reaction mixture was purified
by HPLC semi-preparative X-Terra RP-18, eluting with a linear gradient H
2O/MeCN with 0.02% TEA (80.20 to 0:100), to give
42 (1.2 mg, 1.7 µmol, 19%).
HRMS-ESI (m/z) calculated for C
41H
46N
2O
8Na [M+Na]
+: 717.3146; Found: 717.3142.
Synthesis of 43
[0129]

[0130] To a stirred solution containing
O-methylcocsoline (5.0 mg - 8.9 µmol) in DMF (500 µL), 2-(2-(2-chloroethoxy)ethoxy)ethanol
(3.0 µL - 21.0 µmol), KI (1.0 mg - 6.0 µmol) and Et3N (4.0 µL - 30 µmol) were added
and the reaction mixture was stirred at 65°C for 24h. The reaction mixture was purified
by HPLC semi-preparative X-Terra RP-18, eluting with a linear gradient H
2O/MeCN with 0.02% TEA (80.20 to 0:100), to give
43 (1.7 mg, 2.4 µmol, 27%).
MS-ESI (m/z) calculated for C
41H
47N
2O
8 [M+H]
+: 695.81; Found: 695.1.
Synthesis of 28
[0131]

[0132] A solution containing pyridine-4-methanamine (3.1 µL, 28.0 µmol) and 1,1carbonyldimidazole
(4.5 mg - 28.0 µmol) in DCM (500µL), was stirred at RT for 2 h. Next, Trilobine (5.0
mg, 8.9 µmol) was added to the solution. The reaction mixture was stirred at RT for
12 h., then purified by HPLC semi-preparative X-Terra RP-18, eluting with a linear
gradient H
2O/MeCN with 0.02% TEA (80:20 to 0:100), to give
28 (1.6 mg, 2.3 µmol, 26%).
HRMS-ESI (m/z) calculated for C
42H
41N
4O
6 [M+H]
+: 696.3068; Found: 696.3047.
Synthesis of 31
[0133]

[0134] A stirred solution containing pyridine-4-methanamine (2.9 µL, 29.0 µmol) and 1,1carbonyldimidazole
(4.5 mg - 28.0 µmol in DCM (500µL),) was stirred at RT for 2 h. Next,
O-methylcocsoline (5.0 mg, 8.9 µmol) was added to the solution. The reaction mixture
was stirred at RT for 48 h. The reaction mixture was purified by HPLC semi-preparative
X-Terra RP-18, eluting with a linear gradient H
2O/MeCN with 0.02% TEA (65:35 to 15:85), to give
31 (1.1 mg, 1.6 µmol, 17%).
1H NMR (500MHz, CDCl3) δ 8.83-8.51 (m, 4H), 7.64-7.61(m, 2H), 7.23-7.21 (m, 1H), 7.19-7.18 (m, 1H), 7.08-7.00
(m, 2H), 6.65-6.55 (m, 3H), 6.41 (s, 1H), 6.05 (s, 1H), 4.48-4.41 (m, 2H), 4.38-4.30
(m, 2H), 4.22-4.18 (m, 2H), 4.08-4.05 (m ,1H), 3.89 (s, 3H), 3.85 (s, 3H), 3.49 (s
br, 1H), 3.38-3.35 (m, 2H), 3.19-3.08 (m, 3H), 2.98-2.85 (m, 3H) 2.82-2.68 (m, 4H),
2.39 (s, 3H), 2.55-2.45 (m, 3H).
HRMS-ESI (m/z) calculated for C
42H
41N
4O
6 [M+H]
+: 697.3021; Found: 697.3328.
Synthesis of 23
[0135]

[0136] A solution containing pyridine-4-amine (2.7 mg, 29 µmol) in DCM (500 µL), 1,1carbonyldimidazole
(4.5 mg - 28 µmol) was stirred at RT for 2 h. Next, O-methylcocsoline (5.0 mg, 8.9
µmol) was added to the solution. The reaction mixture was stirred at RT for 48 h.
The reaction mixture was purified by HPLC semi-preparative X-Terra RP-18, eluting
with a linear gradient H
2O/MeCN with 0.02% TEA (65.35 to 15:85), to give
23 (2.6 mg, 3.8 µmol, 43%).
HRMS-ESI (m/z) calculated for C
41H
39N
4O
6 [M+H]
+: 682.2864; Found: 683.2854.
Synthesis of 27
[0137]

[0138] A solution containing 3-amino-pyridin (2.7 mg - 29.0 µmol) in DCM (500 µL), 1,1carbonyldimidazole
(4.5 mg - 28.0 µmol) was stirred at RT for 2 h. Next, O-methylcocsoline (5.0 mg -
8.9 µmol) was added to the solution. The reaction mixture was stirred at RT for 48h,
then purified by HPLC semi-preparative X-Terra RP-18, eluting with a linear gradient
H
2O/MeCN with 0.02% TEA (65.35 to 15.85), to give
27 (1.7 mg, 2.5 µmol, 28%).
HRMS-ESI (m/z) calculated for C
41H
39N
4O
6 [M+H]
+: 683.2864; Found: 683.2853.
Example 1:Inhibition activity of the proliferation of asynchronous asexual cultures
Materials and methods:
[0139] Compounds were provided at a concentration of 10 mM in DMSO.
[0140] P. falciparum parasite are cultured using standard protocol (
Trager and Jensen, Science 1976, 193(4254), 673-675). Briefly, parasites are cultured at 4% hematocrit (O+ human blood, Etablissement
Français du Sang, France) in RPMI1640 complemented with 0.1% Albumax I, HEPES buffer,
hypoxanthine, and gentamycin. They are incubated at 37°C under an atmosphere of 5%
CO2 and 5% O2.
[0141] Compounds of the invention were assayed for a first screen at 5µM in duplicate against
asynchronous asexual cultures of
P. falciparum NF54 (drug-sensitive line) containing mostly rings (2% hematocrit. 0.5% starting
parasitemia). Plates were incubated for 72h at 37°C under a reduced oxygen atmosphere.
Parasite growth was assessed using the SYBR Green I based assay.
[0142] Compounds inducing less than 40% survival at 5µM were assayed for IC50 in duplicate
using a 7-concentration range with 3-fold dilutions, in the same conditions. For the
most active compounds, three independent experiments were realized using a range with
2-fold dilutions. IC50 were determined using Graphpad Prism 6 software. Dihydroartemisinin
(starting concentration 50nM) and DMSO were used as positive and negative controls.
Results:
[0143]
Table 1 - Inhibition activity of the proliferation of asynchronous asexual cultures
of P.falciparum NF54.
entry |
Structure |
% survival @5uM |
Malaria CI50 nM |
10 |

|
11,7 |
470+/-62 |
23 |

|
13,4 |
223+/-58 |
27 |

|
12,7 |
383+/-173 |
28 |

|
14,4 |
504+/-134 |
31 |

|
14,8 |
151+/-21 |
42 |

|
12,9 |
437+/-83 |
43 |

|
13,3 |
438+/-95 |
46 |

|
14,2 |
169+/-10 |
48 |

|
11,8 |
195+/-55 |
60 |

|
15,4 |
227+/-59 |
68 |

|
14,8 |
189 |
73 |

|
15,8 |
299+/-25 |
74 |

|
14,7 |
297+/-42 |
75 |

|
14,9 |
352+/-54 |
78 |

|
12,6 |
331+/-29 |
82 |

|
13,4 |
260+/-34 |
84 |

|
14,9 |
130+/-35 137 |
87 |

|
11,3 |
441+/-67 |
88 |

|
14,7 |
297+/-31 |
89 |

|
14,4 |
428+/-77 |
110 |

|
|
146+/-39 |
113 |

|
|
153+/-58 |
116 |

|
|
263+/-50 |
121 |

|
|
115+/-55 |
122 |

|
|
248+/-58 |
123 |

|
|
283+/-155 |
124 |

|
|
423+/-239 |
[0144] The following results were also obtained, in the same conditions than the ones described
above:
|
mean IC50 +/- SD (nM) |
Nortrilobine |
1220 ± 130 |
Isotrilobine |
1775 |
Example 2: Effect of compounds of the invention against Cambodian multi-resistant
strains.
[0145] Compounds 63 and 84 were evaluated regarding the inhibition of the proliferation
of multi-resistant field isolates adapted to culture. A panel of four Cambodian strains
bearing different molecular markers of resistance were selected:
3D7: Laboratory strain, drug-sensitive,
5150: Cambodian isolate resistant to Chloroquine and Pyrimethamine,
6591: Cambodian isolate resistant to Chloroquine, Pyrimethamine,
5248: Cambodian isolate resistant to Chloroquine, Pyrimethamine, Mefloquine and Artemisinin,
6320: Cambodian isolate resistant to Chloroquine, Pyrimethamine, Piperaquine and Artemisinin.
[0146] IC
50 were obtained against asynchronous asexual stages using SYBR-green assay after 72h
of incubation with a serial dilution of the compounds. Data represents the mean and
SD of 3 independent experiments ran in triplicates. Table 2 illustrates mean IC
50 values and their standard deviation in nanomolar.
Table 2
IC50 nM |
Strain 6591 |
Strain 5248 |
Strain 5150 |
Strain 6320 |
Lab. Strain 3D7 |
mean* |
SD |
mean* |
SD |
mean* |
SD |
mean* |
SD |
mean* |
SD |
84 |
167 |
27 |
346 |
165 |
251 |
74 |
183 |
8 |
136 |
42 |
Pyrimethamine |
>5000 |
|
>5000 |
|
>5000 |
|
>5000 |
|
30 |
4 |
Chloroquine |
64 |
5 |
98 |
20 |
55 |
9 |
109 |
3 |
13 |
6 |
Piperaquine |
34 |
2 |
33 |
9 |
26 |
5 |
>200 |
|
41 |
17 |
* mean value of three replicates |
Example 3: Stage-specificity during the asexual cell cycle.
[0147] To assess stage specificity of compounds of the invention, asexual NF54 parasites
were tightly synchronized (0 to 3h post-invasion) using gelatin flotation and 5% D-sorbitol-treatment
3h later. These parasites were then dispensed in 48-well plates (500µL per well at
2% hematocrit, 0.5% starting parasitemia) and incubated for six hours with different
concentration of the compounds (corresponding to one time, two times and three times
the IC
50 value), either directly (0-6h treatment window) or after 6h, 12h, 18h, 24h, 30h,
36h, or 42h. Following the 6h-treatment, the corresponding cells were pelleted, washed
with 10ml RPMI, and put back into culture in 500uL of complete media in a new plate.
Parasitemia was assessed at 72 hours post-synchronization using giemsa-stained thin
blood smears. Percentage of survival was calculated in comparison to a DMSO-treated
control. The data were obtained in three independent experiments. Compound 84 is active
throughout the 48h cycle with an increased efficiency between 12 and 42h post-invasion
(Figure 1). This compound is active starting from the concentration corresponding
to 3 times the IC
50 value.
Example 4: Ring-stage Survival Assay (RSA).
[0148] Since compounds of the invention are active on early ring stage as shown by the experiments
on the cell cycle, their ability to kill artemisinin-resistant parasites in the ring-stage
survival assay was tested (strains 5150, 6591, 5248 and 6320, Figure 2).
[0149] 0-3h synchronized ring-stage parasites were exposed to a treatment of 6h with either
DMSO, 700nM dihydroartemisinin (DHA), three times the IC
50 value of the compound to test or 700nM DHA in combination with three times the IC
50 value of the compound to test. Parasitemia was assessed at 72 hours post-synchronization
using giemsa-stained thin blood smears. Percentage of survival was calculated in comparison
to a DMSO-treated control. The data were obtained in three independent experiments.
[0150] Compound 84 kills resistant rings using three times the IC
50 value in a similar manner whichever the strain considered, as observed on sensitive
cell line NF54 (figure 2, 0-6h treatment window). This compound is able to kill the
parasites of all the tested strains in combination with 700nM dihydroartemisinin (DHA).
Example 5: Evaluation of the parasite reduction rate (time needed for the compounds
of the invention to kill the parasites).
[0151] Parasites are incubated (see for example
Sanz et al. PLoS ONE 7, e30949 (2012)) with a compound of the invention (or a reference) for different time-windows, washed,
and diluted serially in 96-well plates in fresh red blood cells. Parasites are kept
in culture for 3 to 4 weeks, when growth is assessed to evaluate the number of parasites
that survive-correlated to the number of wells where growth is found. Survival curves
are obtained by plotting the duration of treatment versus the log of the number of
viable parasites (figure 3). Compounds 84 and 121 of the invention act as fast as
dihydroartemisinin (DHA), which is the fastest killer described so far, whereas pyrimethamine
(PYR) is known as a slow killer.
Example 6: In vivo activity
[0152] In vivo activity was determined as previously described (
Malmquist et al. Antimicrob. Agents Chemother. 2015, 59 (2), 950-959) following the Peters 4-day suppressive test (
Peters, Ann. Trop. Med. Parasitol. 1975, 69 (2), 155-171), with slight modifications. C57BL/6 mice were infected intraperitoneally (i.p.)
with 10
5 P. berghei ANKA strain GFP-expressing parasites (
Ishino et al. Cell. Mol. Microbiol. 2006, 59 (4), 1175-1184). Two hours post-infection, mice were treated i.p. with a daily regimen of 10mg/kg
of compound 84, or 25mg/kg of chloroquine, or the equivalent vehicle control (distillated
water) for four days. Parasitemia was quantified from blood samples collected every
day by flow cytometry of 50,000 RBCs and confirmed by Giemsa-stained blood smears.
When treated with compound 84 at 10mg/kg, the mice do not develop severe malaria symptoms
and are able to survive until day 16 after inoculation.
1. A compound of following formula (I)

Wherein,
Y1 and Y2 are each independently H or (C1-C10)-alkyl, in which the fragments (C1-C10)-alkyl are optionally substituted by at least one group selected from NRY1RY2;
RY1 and RY2 are each independently H or (C1-C10)-alkyl;
X1 is H, methyl, ethyl, (C1-C10)-alkyl-R4, (C2-C10)-alkenyl, (C2-C10)-alkenyl-R4, CONHR5, (CH2-CH2O)m-H with m=2-4, in which the fragments (C1-C10)-alkyl are optionally substituted by at least one group selected from halogens;
and N-X1 optionally represents N+-O-;
R2 is chosen from H, methyl, ethyl, (C1-C10)-alkyl-R4', (C2-C10)-alkenyl, (C2-C10)-alkenyl-R4', CONHR5', (CH2-CH2O)m-H with m=2-4, (C1-C10)-alkyl substituted by at least one group selected from halogen, -OH and -O-(C1-C10)-alkyl;
R4 is OH, O-(C1-C10)-alkyl, O-(C5-C10)-aryl, NO2, CN, (3-12)-membered-heterocycle, O-((CH2)2O)n-H with n=1-3, CONRcRd, halogen, COORc, CF3, or (C3-C12)-cycloalkyl, in which (C5-C10)-aryl and (3-12)-membered-heterocycle are optionally substituted by at least one
group selected from NRcRd, ORe, (C1-C10)-alkyl, halogen and oxo (=O);
R5 is H, or a group chosen among (C1-C10)-alkyl-R6, (C3-C12)-cycloalkyl, (C2-C10)-alkenyl, and a (3-12)-membered-heteroaryl, said group being optionally substituted
by at least one group selected from halogen, CN, NRcRd, NO2, CONRcRd, COORc, CF3, ORe,
R4' is OH, O-(C1-C10)-alkyl, O-(C5-C10)-aryl, NO2, CN, NRcRd, (3-12)-membered-heterocycle, O-((CH2)2O)n-H with n=1-3, CONRcRd, halogen, COORc, CF3, or (C3-C12)-cycloalkyl, in which (C5-C10)-aryl and (3-12)-membered-heterocycle are optionally substituted by at least one
group selected from NRcRd, ORc, (C1-C10)-alkyl, halogen and oxo (=O);
R5' is H, or a group chosen among (C1-C10)-alkyl-R6', (C3-C12)-cycloalkyl, (C2-C10)-alkenyl, benzyl, and, only when R1 and X1 are not H, Me, said groups being optionally substituted by at least one group selected
from halogen, CN, NRcRd, NO2, CONRcRd, COORc, CF3, ORe;
R6 is NRcRd, (3-12)-membered-heteroaryl or (3-12)-membered-heterocycle, in which the fragment
(3-12)-membered-heteroaryl or (3-12)-membered-heterocycle is optionally substituted
by at least one group selected from NRcRd, ORe, (C1-C10)-alkyl, (C1-C10)-alkyl-(3-12)-membered-heterocycle, halogen and oxo;
R6' is NRcRd or (3-12)-membered-heterocycle, in which the (3-12)-membered-heterocycle is optionally
substituted by at least one group selected from (C1-C10)-alkyl;
R1 is H, methyl, -(C1-C6) alkyl-NRaRb, COR7, (3-12)-membered-azaheterocycle optionally substituted by at least one group selected
from (C1-C10)-alkyl, or (C1-C6)-alkyl substituted by at least one group selected from epoxide and (3-12)-membered-azaheterocycle,
both optionally substituted by at least one group selected from (C1-C10)-alkyl,
Ra and Rb are independently from each other (C1-C6) alkyl or H, at least one of Ra and Rb being a (C1-C6) alkyl;
Rc, Rd and Re are for each occurence independently from each other (C1-C6) alkyl or H; R3 is H, (C1-C6) alkyl, (C1-C6) alkyl substituted by NRcRd;
R7 is (C1-C10)-alkyl, (C5-C10)-aryl;
With the proviso that:
- in case Y1 and Y2 are H, and R1, R2, R3 and X1 are independently chosen from H and methyl, then R3 is H and R2 is H;
or a pharmaceutically acceptable salt or solvate thereof,
for use in the treatment and/or prevention of malaria.
2. The compound for use according to claim 1, wherein it is a compound of one of the
following formulae:
3. The compound for use according to anyone of claims 1 to 2, wherein :
- Y1 and/or Y2, in particular Y1 and Y2, are H; and/or
- R3 is H or methyl, in particular methyl.
4. The compound for use according to anyone of claims 1 to 3, wherein :
- one of R1, R2 and X1 is not H nor methyl, the two others being notably H or methyl;
- R1 is not H nor methyl, R2 and X1 being in particular independently H or methyl;
- R2 is not H nor methyl, R1 and X1 being in particular independently H or methyl;
- X1 is not H nor methyl, R1 and R2 being in particular independently H or methyl; or
- X1 and R2 are not H nor methyl, X1 and R2 being in particular identical, R1 being notably H or methyl.
5. The compound for use according to anyone of claims 1 to 3, of following formula (II)

Wherein:
Y1, Y2 and R3 are as defined in claim 1, Y1 and Y2, being in particular H, and R3 being in particular methyl,
X1 is H, methyl, CONHR5, (CH2-CH2O)m-H with m=2-4;
R2 is chosen from H, methyl, (C1-C10)-alkyl-R4', CONHR5', and (CH2-CH2O)m-H with m=2-4, (C1-C10)-alkyl being optionally substituted by at least one -OH;
R5 is a group chosen among (C1-C10)-alkyl-R6, and (3-12)-membered-heteroaryl, in particular pyridyl;
R4' is NRcRd;
R5' is a group chosen among (C1-C10)-alkyl-R6', benzyl, and, only when R1 and X1 are not H, Me;
R6 is NRcRd, (3-12)-membered-heteroaryl, in particular pyridyl, or (3-12)-membered-heterocycle,
in particular piperazinyl, in which the fragment (3-12)-membered-heteroaryl or (3-12)-membered-heterocycle
is optionally substituted by at least one group selected from (C1-C10)-alkyl;
R6' is NRcRd;
R1 is H, methyl, -(C1-C6)alkyl-NRaRb, COR7, (3-12)-membered-azaheterocycle, in particular azepanyl, optionally substituted by
at least one group selected from (C1-C10)-alkyl, or (C1-C6)-alkyl substituted by at least one group selected from epoxide and (3-12)-membered-azaheterocycle,
in particular pyrrolidinyl or piperazinyl, both epoxide and (3-12)-membered-azaheterocycle
being optionally substituted by at least one group selected from (C1-C10)-alkyl,
Ra and Rb are independently from each other (C1-C6) alkyl or H, at least one of Ra and Rb being a (C1-C6) alkyl;
Rc, Rd and Re are for each occurence independently from each other (C1-C6) alkyl or H;
R7 is (C1-C10)-alkyl, (C5-C10)-aryl;
with the proviso that:
- in case R1, R2, R3 and X1 are independently chosen from H and methyl, then R3 is H and R2 is H.
6. The compound for use according to anyone of claims 1 to 5, wherein in case R1, R2, R3 and X1 are independently chosen from H and methyl, then R3 is H, and R2 is H, R1 being in particular H.
8. The compound for use according to any one of claims 1 to 7, wherein the malaria is
caused by a drug sensitive or drug resistant malaria parasite, in particular a drug
resistant malaria parasite.
9. The compound for use according to claim 8, wherein the drug-sensitive or drug-resistant
malaria parasite is a chloroquine-sensitive; a chloroquine-resistant; a chloroquine
and pyrimethamine-sensitive; a chloroquine and pyrimethamine-resistant; a chloroquine,
pyrimethamine and mefloquine-sensitive; a chloroquine, pyrimethamine and mefloquine-resistant;
a chloroquine, pyrimethamine, mefloquine and artemisinin-sensitive; a chloroquine,
pyrimethamine, mefloquine and artemisinin-resistant; a chloroquine, pyrimethamine,
piperaquine and artemisinin-sensitive; a chloroquine, pyrimethamine, piperaquine and
artemisinin-resistant malaria parasite.
10. The compound for use according to claim any one of claims 1 to 9, wherein malaria
is caused by infection with Plasmodium, in particular by Plasmodium falciparum, P. vivax, P. ovale, or P. malariae, P. knowlesi more particularly by Plasmodium falciparum.
11. A combination of a compound according to any one of claims 1 to 7, with at least one
other antimalarial agent for use in the treatment of malaria with simultaneous administration,
separate or spread out over time.
12. The combination for use according to claim 11, wherein the other antimalarial agent
is selected from chloroquine, artemesin, qinghaosu, 8-aminoquinoline, amodiaquine,
arteether, artemether, artemisinin, artesunate, artesunic acid, artelinic acid, atovaquone,
azithromycine, biguanide, chloroquine phosphate, chlorproguanil, cycloguanil, dapsone,
desbutyl halofantrine, desipramine, doxycycline, dihydrofolate reductase inhibitors,
dipyridamole, halofantrine, haloperidol, hydroxychloroquine sulfate, imipramine, mefloquine,
penfluridol, phospholipid inhibitors, primaquine, proguanil, pyrimethamine, pyronaridine,
quinine, quinidine, quinacrineartemisinin, sulfonamides, sulfones, sulfadoxine, sulfalene,
tafenoquine, tetracycline, tetrandine, triazine, salts and mixture thereof.
13. A pharmaceutical composition comprising a compound of following formula (III):

Wherein,
Y1 and Y2 are each independently H or (C1-C10)-alkyl, in which the fragments (C1-C10)-alkyl are optionally substituted by at least one group selected from NRY1RY2;
RY1 and RY2 are each independently H or (C1-C10)-alkyl;
X1 is H, methyl, ethyl, (C1-C10)-alkyl-R4, (C2-C10)-alkenyl, (C2-C10)-alkenyl-R4, CONHR5, (CH2-CH2O)m-H with m=2-4, in which the fragments (C1-C10)-alkyl are optionally substituted by at least one group selected from halogens;
and N-X1 optionally represents N+-O-;
R2 is chosen from H, methyl, ethyl, (C1-C10)-alkyl-R4', (C2-C10)-alkenyl, (C2-C10)-alkenyl-R4', CONHR5', (CH2-CH2O)m-H with m=2-4, (C1-C10)-alkyl substituted by at least one group selected from halogen, -OH and -O-(C1-C10)-alkyl;
R4 is OH, O-(C1-C10)-alkyl, O-(C5-C10)-aryl, NO2, CN, (3-12)-membered-heterocycle, O-((CH2)2O)n-H with n=1-3, CONRcRd, halogen, COORc, CF3, or (C3-C12)-cycloalkyl,
in which (C5-C10)-aryl and (3-12)-membered-heterocycle are optionally substituted by at least one
group selected from NRcRd, ORe, (C1-C10)-alkyl, halogen and oxo (=O);
R5 is H, or a group chosen among (C1-C10)-alkyl-R6, (C3-C12)-cycloalkyl, (C2-C10)-alkenyl, and a (3-12)-membered-heteroaryl, said group being optionally substituted
by at least one group selected from halogen, CN, NRcRd, NO2, CONRcRd, COORc, CF3, ORe,
R4' is OH, O-(C1-C10)-alkyl, O-(C5-C10)-aryl, NO2, CN, NRcRd, (3-12)-membered-heterocycle, O-((CH2)2O)n-H with n=1-3, CONRcRd, halogen, COORc, CF3, or (C3-C12)-cycloalkyl, in which (C5-C10)-aryl and (3-12)-membered-heterocycle are optionally substituted by at least one
group selected from NRcRd, ORc, (C1-C10)-alkyl, halogen and oxo (=O);
R5' is H, or a group chosen among (C1-C10)-alkyl-R6', (C3-C12)-cycloalkyl, (C2-C10)-alkenyl, benzyl, and, only when R1 and X1 are not H, Me, said groups being optionally substituted by at least one group selected
from halogen, CN, NRcRd, NO2, CONRcRd, COORc, CF3, ORe;
R6 is NRcRd, (3-12)-membered-heteroaryl or (3-12)-membered-heterocycle, in which the fragment
(3-12)-membered-heteroaryl or (3-12)-membered-heterocycle is optionally substituted
by at least one group selected from NRcRd, ORe, (C1-C10)-alkyl, (C1-C10)-alkyl-(3-12)-membered-heterocycle, halogen and oxo;
R6' is NRcRd or (3-12)-membered-heterocycle, in which the (3-12)-membered-heterocycle is optionally
substituted by at least one group selected from (C1-C10)-alkyl;
R1 is H, methyl, -(C1-C6) alkyl-NRaRb, COR7, (3-12)-membered-azaheterocycle optionally substituted by at least one group selected
from (C1-C10)-alkyl, or (C1-C6)-alkyl substituted by at least one group selected from epoxide and (3-12)-membered-azaheterocycle,
both optionally substituted by at least one group selected from (C1-C10)-alkyl,
Ra and Rb are independently from each other (C1-C6) alkyl or H, at least one of Ra and Rb being a (C1-C6) alkyl;
Rc, Rd and Re are for each occurence independently from each other (C1-C6) alkyl or H;
R3 is H, (C1-C6) alkyl, (C1-C6) alkyl substituted by NRcRd;
R7 is (C1-C10)-alkyl, (C5-C10)-aryl;
With the proviso that:
- R3 is H, and R2 is H; or
- At least one of Y1 and Y2 is not H; or
- At least one of R1, R2, R3 and X1 is not H or methyl, with R1, R2, R3 and X1 being such as:
X1 is H, methyl, CONHR5, (CH2-CH2O)m-H with m=2-4, in which the fragments (C1-C10)-alkyl are optionally substituted by at least one group selected from halogens;
R2 is chosen from H, methyl, (C1-C10)-alkyl-R4', CONHR5', (CH2-CH2O)m-H with m=2-4, (C1-C10)-alkyl substituted by at least one or two groups selected from halogen, -OH and -O-(C1-C10)-alkyl, in particular -OH;
R5 is a group chosen among (C1-C10)-alkyl-R6, and a (3-12)-membered-heteroaryl, in particular pyridyl, said group being optionally
substituted by at least one group selected from halogen, CN, NRcRd, NO2, CONRcRd, COORc, CF3, ORe,
R4' is NRcRd;
R5' is H, or a group chosen among (C1-C10)-alkyl-R6' and benzyl, said groups being optionally substituted by at least one group selected
from halogen, CN, NRcRd, NO2, CONRcRd, COORc, CF3, ORe;
R6 is (3-12)-membered-heteroaryl, in particular pyridyl, or (3-12)-membered-heterocycle,
in particular piperazinyl, in which the fragment (3-12)-membered-heteroaryl or (3-12)-membered-heterocycle
is optionally substituted by at least one group selected from NRcRd, ORe, (C1-C10)-alkyl, (C1-C10)-alkyl-(3-12)-membered-heterocycle, halogen and oxo;
R6' is (3-12)-membered-heterocycle, in which the (3-12)-membered-heterocycle is optionally
substituted by at least one group selected from (C1-C10)-alkyl;
R1 is H, methyl, -(C1-C6)alkyl-NRaRb, COR7, (3-12)-membered-azaheterocycle, in particular azepanyl, optionally substituted by
at least one group selected from (C1-C10)-alkyl, or (C1-C6)-alkyl substituted by at least one group selected from epoxide and (3-12)-membered-azaheterocycle,
in particular pyrrolidinyl or piperazinyl, both epoxide and (3-12)-membered-azaheterocycle
being optionally substituted by at least one group selected from (C1-C10)-alkyl,
Ra and Rb are independently from each other (C1-C6) alkyl or H, at least one of Ra and Rb being a (C1-C6) alkyl;
Rc, Rd and Re are for each occurence independently from each other (C1-C6) alkyl or H;
R3 is H, (C1-C6) alkyl, in particular methyl;
R7 is methyl or phenyl, in particular methyl, or
a stereoisomeric form, a mixture of stereoisomeric forms or a pharmaceutically acceptable
salt form thereof,
in admixture with at least one pharmaceutically acceptable excipient.
14. Compound of the following formula (III):

Wherein,
Y1 and Y2 are each independently H or (C1-C10)-alkyl, in which the fragments (C1-C10)-alkyl are optionally substituted by at least one group selected from NRY1RY2;
RY1 and RY2 are each independently H or (C1-C10)-alkyl;
X1 is H, methyl, ethyl, (C1-C10)-alkyl-R4, (C2-C10)-alkenyl, (C2-C10)-alkenyl-R4, CONHR5, (CH2-CH2O)m-H with m=2-4, in which the fragments (C1-C10)-alkyl are optionally substituted by at least one group selected from halogens;
and N-X1 optionally represents N+-O-;
R2 is chosen from H, methyl, ethyl, (C1-C10)-alkyl-R4', (C2-C10)-alkenyl, (C2-C10)-alkenyl-R4', CONHR5', (CH2-CH2O)m-H with m=2-4, (C1-C10)-alkyl substituted by at least one group selected from halogen, -OH and -O-(C1-C10)-alkyl;
R4 is OH, O-(C1-C10)-alkyl, O-(C5-C10)-aryl, NO2, CN, (3-12)-membered-heterocycle, O-((CH2)2O)n-H with n=1-3, CONRcRd, halogen, COORc, CF3, or (C3-C12)-cycloalkyl, in which (C5-C10)-aryl and (3-12)-membered-heterocycle are optionally substituted by at least one
group selected from NRcRd, ORe, (C1-C10)-alkyl, halogen and oxo (=O);
R5 is H, or a group chosen among (C1-C10)-alkyl-R6, (C3-C12)-cycloalkyl, (C2-C10)-alkenyl, and a (3-12)-membered-heteroaryl, said group being optionally substituted
by at least one group selected from halogen, CN, NRcRd, NO2, CONRcRd, COORc, CF3, ORe,
R4' is OH, O-(C1-C10)-alkyl, O-(C5-C10)-aryl, NO2, CN, NRcRd, (3-12)-membered-heterocycle, O-((CH2)2O)n-H with n=1-3, CONRcRd, halogen, COORc, CF3, or (C3-C12)-cycloalkyl, in which (C5-C10)-aryl and (3-12)-membered-heterocycle are optionally substituted by at least one
group selected from NRcRd, ORc, (C1-C10)-alkyl, halogen and oxo (=O);
R5' is H, or a group chosen among (C1-C10)-alkyl-R6', (C3-C12)-cycloalkyl, (C2-C10)-alkenyl, benzyl, and, only when R1 and X1 are not H, Me, said groups being optionally substituted by at least one group selected
from halogen, CN, NRcRd, NO2, CONRcRd, COORc, CF3, ORe;
R6 is NRcRd, (3-12)-membered-heteroaryl or (3-12)-membered-heterocycle, in which the fragment
(3-12)-membered-heteroaryl or (3-12)-membered-heterocycle is optionally substituted
by at least one group selected from NRcRd, ORe, (C1-C10)-alkyl, (C1-C10)-alkyl-(3-12)-membered-heterocycle, halogen and oxo;
R6' is NRcRd or (3-12)-membered-heterocycle, in which the (3-12)-membered-heterocycle is optionally
substituted by at least one group selected from (C1-C10)-alkyl; R1 is H, methyl, -(C1-C6) alkyl-NRaRb, COR7, (3-12)-membered-azaheterocycle optionally substituted by at least one group selected
from (C1-C10)-alkyl, or (C1-C6)-alkyl substituted by at least one group selected from epoxide and (3-12)-membered-azaheterocycle,
both optionally substituted by at least one group selected from (C1-C10)-alkyl,
Ra and Rb are independently from each other (C1-C6) alkyl or H, at least one of Ra and Rb being a (C1-C6) alkyl;
Rc, Rd and Re are for each occurence independently from each other (C1-C6) alkyl or H;
R3 is H, (C1-C6) alkyl, (C1-C6) alkyl substituted by NRcRd;
R7 is (C1-C10)-alkyl, (C5-C10)-aryl;
With the proviso that:
- R3 is H, and R2 is H; or
- At least one of Y1 and Y2 is not H; or
- At least one of R1, R2, R3 and X1 is not H or methyl, with R1, R2, R3 and X1 being such as:
X1 is H, methyl, CONHR5, (CH2-CH2O)m-H with m=2-4, in which the fragments (C1-C10)-alkyl are optionally substituted by at least one group selected from halogens;
R2 is chosen from H, methyl, (C1-C10)-alkyl-R4', CONHR5', (CH2-CH2O)m-H with m=2-4, (C1-C10)-alkyl substituted by at least one or two groups selected from halogen, -OH and -O-(C1-C10)-alkyl, in particular -OH;
R5 is a group chosen among (C1-C10)-alkyl-R6, and a (3-12)-membered-heteroaryl, in particular pyridyl, said group being optionally
substituted by at least one group selected from halogen, CN, NRcRd, NO2, CONRcRd, COORc, CF3, ORe,
R4' is NRcRd;
R5' is H, or a group chosen among (C1-C10)-alkyl-R6' and benzyl, said groups being optionally substituted by at least one group selected
from halogen, CN, NRcRd, NO2, CONRcRd, COORc, CF3, ORe;
R6 is (3-12)-membered-heteroaryl, in particular pyridyl, or (3-12)-membered-heterocycle,
in particular piperazinyl, in which the fragment (3-12)-membered-heteroaryl or (3-12)-membered-heterocycle
is optionally substituted by at least one group selected from NRcRd, ORe, (C1-C10)-alkyl, (C1-C10)-alkyl-(3-12)-membered-heterocycle, halogen and oxo;
R6' is (3-12)-membered-heterocycle, in which the (3-12)-membered-heterocycle is optionally
substituted by at least one group selected from (C1-C10)-alkyl;
R1 is H, methyl, -(C1-C6)alkyl-NRaRb, COR7, (3-12)-membered-azaheterocycle, in particular azepanyl, optionally substituted by
at least one group selected from (C1-C10)-alkyl, or (C1-C6)-alkyl substituted by at least one group selected from epoxide and (3-12)-membered-azaheterocycle,
in particular pyrrolidinyl or piperazinyl, both epoxide and (3-12)-membered-azaheterocycle
being optionally substituted by at least one group selected from (C1-C10)-alkyl,
Ra and Rb are independently from each other (C1-C6) alkyl or H, at least one of Ra and Rb being a (C1-C6) alkyl;
Rc, Rd and Re are for each occurence independently from each other (C1-C6) alkyl or H;
R3 is H, (C1-C6) alkyl, in particular methyl;
R7 is methyl or phenyl, in particular methyl.